Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian Zettervall, LPC, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649791310

Ian Zettervall, LPC, LADC is a Mental Health Counselor in Bristol, Connecticut. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

61 Bradley St
Bristol, CT 06010-5103
Phone: (860) 863-1937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 46.003558 (CT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 001211 (CT)

Record details

NPI number1649791310
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LADC
Sole proprietorYes
NPI enumeratedJuly 3, 2017
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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