Individual provider Active NPI

Jessica Jarrard, LMHC

  • Professional Counselor
  • Shrewsbury, MA
National Provider Identifier
1053789404
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11129 Issued in MA
Practice address
38 Colonial Dr
Shrewsbury, MA 01545-1521
Phone
(203) 952-0131
Fax
(203) 403-6048
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11129 MA Primary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 5646 CT

Addresses

Primary practice location

38 Colonial Dr
Shrewsbury, MA 01545-1521

Mailing address

22 Pleasant St
Malden, MA 02148-5119

Other practice location 1

179 Mamanasco Rd
Ridgefield, CT 06877-1721
Phone (203) 952-0131

Other names 1

  • JJ Jarrard Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Haven Counseling and Consultation Services LLC Mental Health Current Accepting new patients
Rainbow Counseling & Consultation LLC Professional CurrentSince May 28, 2023 Accepting new patients

Organizations & group practices 2

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1053789404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 COLONIAL DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451521",
            "telephone_number": "203-952-0131",
            "fax_number": "203-403-6048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Mamanasco Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "CT",
            "postal_code": "068771721",
            "country_code": "US",
            "telephone_number": "203-952-0131",
            "fax_number": "203-403-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRARD",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "11129",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JJ",
            "last_name": "JARRARD",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.