Individual provider Active NPI

Jere Nichole Cabral

  • Mental Health Counselor
  • Seekonk, MA
National Provider Identifier
1073011664
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
70 Case Ave Ste 1
Seekonk, MA 02771-4156
Phone
(774) 901-4800
NPI assigned
Jan 29, 2018
Last updated
Dec 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X 125365 MA
Clinical Social Worker 1041C0700X 03669 RI

Addresses

Primary practice location

70 Case Ave Ste 1
Seekonk, MA 02771-4156

Mailing address

70 Case Ave
Seekonk, MA 02771-4156
Phone (774) 901-4800

Other names 1

  • Jere Nichole Macmurray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240205000648 MA Practitioner - Clinical Social Worker 6608219969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

70 Case Ave
Suite 1
Seekonk, MA 02771-4156
Phone 7749014800100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125365MAMDClinical Social Worker
03669RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Bodhi PC CurrentSince Dec 21, 2023 Accepting new patients

Locations

70 Case Ave
#1
Seekonk, MA 02771
Phone (774) 901-4800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1073011664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CASE AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027714156",
            "telephone_number": "774-901-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CASE AVE STE 1",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027714156",
            "telephone_number": "774-901-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "JERE",
        "middle_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125365",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "03669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERE",
            "last_name": "MACMURRAY",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seekonk, MA

Sources for this page

Verify at the official NPI Registry.