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

Mr. Glenn Phillip Petruzzi

Individual provider Mental Health Counselor · NPI 1467758821

Mr. Glenn Phillip Petruzzi is a Mental Health Counselor in Westford, Massachusetts. Qualified in 2008, 18 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
18
Licensed in
MA
In the registry since
2011
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Practice location Address checks out

62 Brookside Rd
Westford, MA 01886-6094
Phone: (617) 777-6696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12 Essex Street, Andover, MA 01810 — (978) 222-3121

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (MA)

Record details

NPI number1467758821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2011
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address62 Brookside Rd, Westford, MA 01886-6094

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Westford