RAEVEN JEMISON


Address: 995 Worthington St, Springfield, MA 01109-4027
Phone: 4137475384

RAEVEN JEMISON (NPI# 1740831890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740831890
Entity Type Individual
Full Name RAEVEN JEMISON
Practice Address 995 Worthington St
Springfield
MA 01109-4027
Practice Telephone 4137475384
Mailing Telephone 4137475384
Enumeration Date 2019-09-20
Last Update Date 2019-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 995 WORTHINGTON ST
City SPRINGFIELD
State MA
Zip Code 01109-4027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255675153 Kristine Mary Stack Registered Nurse 995 Worthington St, Springfield, MA 01109-4027 2012-11-15
1922614239 Kathleen M Bailes Social Worker 995 Worthington St, Springfield, MA 01109-4027 2020-09-22
1417587593 Brandy Alexander Zuber Counselor 995 Worthington St, Springfield, MA 01109-4027 2020-01-17
1578114708 Wanda Liz Planadeball Counselor 995 Worthington St, Springfield, MA 01109-4027 2019-09-29
1487205803 Tadaja Mone Murphy Counselor 995 Worthington St, Springfield, MA 01109-4027 2019-09-26
1407407802 Marcus Steven Garner Counselor 995 Worthington St, Springfield, MA 01109-4027 2019-09-26
1154985034 Bonnie Odonnell Counselor 995 Worthington St, Springfield, MA 01109-4027 2019-04-26
1285104141 Mental Health Association, Inc. Community/Behavioral Health 995 Worthington St, Springfield, MA 01109-4027 2018-12-04
1659854933 Carol Maria Raus Counselor 995 Worthington St, Springfield, MA 01109-4027 2018-09-12
1417493180 Olivia Taylor Bernstein Case Manager/Care Coordinator 995 Worthington St, Springfield, MA 01109-4027 2017-01-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720479892 Ethan Chase Dentist 555 State Street, Dental Dreams, Springfield, MA 01109 2015-02-11
1043591423 Victoria A Jones Counselor 1104 Street Street, Suite 2d, Springfield, MA 01109 2011-08-30
1093043879 Lee Ann Callagher Occupational Therapist 807 Wilbraham Rd., Springfield, MA 01109 2009-12-07
1740424993 Pamela Joan Aselton Nurse Practitioner 263 Alden Street, Springfield College Health Service, Springfield, MA 01109 2009-04-30
1225642507 Emma V Slater Student in an Organized Health Care Education/Training Program 263 Alden St, Springfield, MA 01109 2020-09-03
1184253239 Hye Young Shin Dentist 555 State St, Springfield, MA 01109 2020-04-01
1225662992 Mary Catherine Becker Student in an Organized Health Care Education/Training Program 263 Alden Street, Springfield, MA 01109 2020-03-02
1235630856 Kathryn O'brien Student in an Organized Health Care Education/Training Program 11 Wilbraham Rd, Springfield, MA 01109 2018-02-28
1174074736 Candace Griffith Counselor 140 High St., Suite 230, Springfield, MA 01109 2016-10-19
1356730279 Pedro Ferrer Counselor 332 Birnie Ave, Springfield, MA 01109 2015-01-15
Find all providers in zip 01109

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SPRINGFIELD
Zip Code 01109

Improve Information

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Dataset Information

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.

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