MR. TREVOR WOODWORTH – Counselor, NPI 1467755280

MR. TREVOR WOODWORTH is a healthcare provider. based in Malden, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MR. TREVOR WOODWORTH is 1467755280

Main info

Male
15 Years Of Experience
Name
MR. TREVOR WOODWORTH
NPI
1467755280
Phone
Not provided
Address
730 EASTERN AVE
Enumeration Date
16 December 2010
Last Update Date
21 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
0749728970
Professional Enrollment ID
I20260303000480
Address ID
MA021450000SO399XXDRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for MR. TREVOR WOODWORTH

  • 730 EASTERN AVE

    MALDEN, MA 021485924

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260303000480IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02148)

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Reviews

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Frequently asked questions

Is there an official ID for MR. TREVOR WOODWORTH in U.S. healthcare records?
The official identifier for MR. TREVOR WOODWORTH is NPI 1467755280.
Would MR. TREVOR WOODWORTH appear as active to a payer?
You can treat MR. TREVOR WOODWORTH as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. TREVOR WOODWORTH?
MR. TREVOR WOODWORTH is associated with Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MR. TREVOR WOODWORTH registered?
Use Malden, Massachusetts as the headline location for MR. TREVOR WOODWORTH here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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