JODY LYNN PELLETIER (NPI# 1649889833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649889833 |
Entity Type | Individual |
Full Name | JODY LYNN PELLETIER |
Credential | BSW |
Practice Address |
7 Cedar Gln Greenfield MA 01301-2553 |
Practice Telephone | 4135220100 |
Mailing Telephone | 4135220100 |
Enumeration Date | 2020-07-24 |
Last Update Date | 2020-07-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0 | MA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MA | Behavioral Health & Social Service Providers | |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1 | 05 |
Street Address |
7 CEDAR GLN |
City | GREENFIELD |
State | MA |
Zip Code | 01301-2553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467076786 | Amber Marie Ortiz | Social Worker | 265 Federal Street, Apartment #3, Greenfield, MA 01301 | 2020-06-02 |
1215405238 | Laurel Crommett | Social Worker | 79 Silver St, Greenfield, MA 01301 | 2018-11-07 |
1477071090 | Hannah Margaret Pachalis | Dental Hygienist | 55 Federal St Ste240, Greenfield, MA 01301 | 2017-09-04 |
1457890964 | Caitlin Susanne Reed | Counselor | One Arch Place Second Floor, Center for Community Resilience After Trauma, Greenfield, MA 01301 | 2017-02-16 |
1548717036 | Merl Gray | Counselor | 1 Arch Street, #1, Greenfield, MA 01301 | 2016-09-01 |
1154877710 | Clinical & Support Oprtions | Respite Care | 1 Arch Street #1, Greenfield, MA 01301 | 2016-09-01 |
1104299668 | Karli Sacco | Occupational Therapist | 130 Colrain Road, Greenfield, MA 01301 | 2015-11-05 |
1750759239 | Richard H. Orton | Counselor | 28 High St., Green Valley Counseling, Greenfield, MA 01301 | 2015-09-14 |
1609265768 | Kelly Broadway | Counselor | One Arch Place, 2nd Floor, Greenfield, MA 01301 | 2015-01-13 |
1184061327 | David Mancuso | Social Worker | 131 French King Highway, Work, Greenfield, MA 01301 | 2013-05-29 |
Find all providers in zip 01301 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659876746 | Cris Carl | Counselor | 1 Arch Pl Ste 3, Greenfield, MA 01301-2457 | 2018-03-29 |
1700385192 | Servicenet Inc | Counselor | 53 Beacon St, Greenfield, MA 01301-2004 | 2018-02-12 |
1285067413 | Joanna Ledvina | Counselor | 4811 S 76th St Ste 208, Greenfield, WI 53220-4352 | 2013-08-12 |
1780905299 | Robert Reniszewski | Counselor | 177 Shelburne Rd, Greenfield, MA 01301-9624 | 2010-06-18 |
1316165590 | Parkview Counseling Associates | Counselor | 9910 W Layton Ave, Suite 1, Greenfield, WI 53228-3363 | 2007-04-23 |
1922147719 | Terrence Brian Hoyt | Counselor | 4811 S 76, Ste 309, Greenfield, WI 53220 | 2007-02-06 |
1326123282 | David Paul Vogt | Counselor | 4811 S 76th Street, Greenfield, WI 53220 | 2006-10-26 |
1477646727 | Ellen Mary Diedrich | Counselor | 4402 S 68th St Ste 102, Greenfield, WI 53220-3479 | 2006-10-01 |
1801819552 | Michael Dillenburg | Counselor | 4325 S 60th St, Greenfield, WI 53220-3508 | 2006-07-25 |
1730129636 | John K Luznicky | Counselor | 6510 W Layton Ave, Suite 5, Greenfield, WI 53220-4573 | 2006-06-08 |
Find all providers in GREENFIELD |
City | GREENFIELD |
Zip Code | 01301 |
Please comment or provide details below to improve the information on JODY LYNN PELLETIER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.