Ian Zettervall, LPC, LADC
NPI 1649791310 · Counselor · Bristol, CT
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ian Zettervall, LPC, LADC is a Counselor provider in Bristol, CT (NPI 1649791310).
Provider details
- NPI number
- 1649791310
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, LADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001211 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-03
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Frequently asked questions
- What is Ian Zettervall's NPI number?
- Ian Zettervall's National Provider Identifier (NPI) is 1649791310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ian Zettervall's specialty?
- Ian Zettervall is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Ian Zettervall located?
- Ian Zettervall's practice location on file with NPPES is 61 Bradley St, Bristol, CT 06010-5103.
- What is Ian Zettervall's phone number?
- The practice phone number listed in the NPPES registry for Ian Zettervall is (860) 863-1937.
- Does Ian Zettervall accept Medicare?
- Ian Zettervall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ian Zettervall's NPI active?
- Yes — Ian Zettervall's NPI (1649791310) is active in the NPPES registry as of the last update on 2022-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.