MISS ANDREA BACON (NPI# 1861036428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861036428 |
| Entity Type | Individual |
| Full Name | MISS ANDREA BACON |
| Practice Address |
400 Washington St Ste 303 Braintree MA 02184-4768 |
| Mailing Address |
61 Richards Rd Southborough MA 01772-1928 |
| Practice Telephone | 7818433683 |
| Mailing Telephone | 5083301440 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194763433 | Andrea Bacon | Psychiatry & Neurology | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2006-06-02 |
| Street Address |
400 WASHINGTON ST STE 303 |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427264100 | Karen Perry Wilson | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2007-05-16 |
| 1306452123 | Alexandria Cruz | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2020-09-17 |
| 1174141022 | Melissa De Viller | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2020-07-08 |
| 1023677994 | Maya A. Williams | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2019-06-13 |
| 1235695396 | Liliana Valdez | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2019-02-13 |
| 1437622925 | Ann-beth H Ostroff | Social Worker | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2019-01-07 |
| 1578054789 | Jon-erik O'neil | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2018-05-23 |
| 1679072284 | Michelle Pierre Vilmont | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2018-02-09 |
| 1982118113 | Shlomit Cohen-yashar | Social Worker | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2017-11-27 |
| 1184152696 | Sonia Miranda | Counselor | 400 Washington St Ste 303, Braintree, MA 02184 | 2017-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| 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 |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1548542863 | Allison Marie Cullen | Counselor | 197 Quincy Ave Ste 111, Braintree, MA 02184-2348 | 2011-09-13 |
| 1427264100 | Karen Perry Wilson | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2007-05-16 |
| 1952902173 | Briana Catherine Hart | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2020-11-04 |
| 1306452123 | Alexandria Cruz | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2020-09-17 |
| 1689287104 | Kathleen Benitez Rivera | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2020-08-25 |
| 1245840859 | Felicia Medeiros | Counselor | 400 Washington St, Braintree, MA 02184-4729 | 2020-08-07 |
| 1174141022 | Melissa De Viller | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2020-07-08 |
| 1225654650 | Patrick Glennon | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2020-06-22 |
| 1982223590 | Mary Rogers Shea | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2020-04-14 |
| Find all providers in BRAINTREE | ||||
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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.