Individual provider Active NPI

Jacob A Valeri

  • Counselor
  • Worcester, MA
National Provider Identifier
1003326919
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
81 Plantation St
Worcester, MA 01604-3069
Phone
(508) 849-5600
NPI assigned
Oct 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

81 Plantation St
Worcester, MA 01604-3069

Mailing address

23 Greenwood Rd
Northborough, MA 01532-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003000185 ME Practitioner - Mental Health Counselor 0143751073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Counseling Center PAGroup PAC ID 7810264363, 2 clinicians

Practice addresses (Care Compare)

96 Main St
Livermore Falls, ME 04254-1511
Phone (207) 897-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Counseling Center, P.a. CurrentSince Sep 1, 2024 Accepting new patients

Locations

96 Main St
Livermore Fls, ME 04254
Phone (207) 645-9770

476 Main St
Ste 2
Oxford, ME 04270

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1003326919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GREENWOOD RD",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043069",
            "telephone_number": "508-849-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERI",
        "first_name": "JACOB",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.