KEVIN JAMES EDWARD FENTON (NPI# 1659925592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659925592 |
| Entity Type | Individual |
| Full Name | KEVIN JAMES EDWARD FENTON |
| Credential | M.A. |
| Practice Address |
130 Maple St Ste 325 Springfield MA 01103-2215 |
| Practice Telephone | 4137379544 |
| Practice Fax Number | 4137374455 |
| Mailing Telephone | 4137379544 |
| Mailing Fax Number | 4137374455 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MA | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MA | Behavioral Health & Social Service Providers |
| Street Address |
130 MAPLE ST STE 325 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306063037 | John Guerra | Counselor | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2007-04-20 |
| 1356942650 | Reina Luz Cruz | Counselor | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-11-03 |
| 1891396198 | Karena Dejesus | Counselor | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-11-03 |
| 1518568815 | Cristel Mary Rios | Counselor | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-11-03 |
| 1538776919 | Cienna Hiersche | Social Worker | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-09-29 |
| 1639784556 | Brianna Anthony | Social Worker | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-09-09 |
| 1134734965 | Laurel Boland | Social Worker | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-09-09 |
| 1184245250 | Eric C Silenga | Nurse Practitioner | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-04-30 |
| 1174154371 | Yawavi Simpini | Counselor | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-01-28 |
| 1831739168 | Victoria Ann-marie Covington | Counselor | 130 Maple St Ste 325, Springfield, MA 01103-2215 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
| 1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
| 1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
| 1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
| 1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
| 1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
| 1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
| 1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01103 |
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| 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.