Active NPI
Jen Jean Hennecelli
- Counselor
- Salem, MA
National Provider Identifier
1083033682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 204 Lafayette St
Salem, MA 01970-4721 - Phone
- (786) 877-6883
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
204 Lafayette St
Salem, MA 01970-4721
Mailing address
204 Lafayette St
Salem, MA 01970-4721
Phone (786) 877-6883
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1083033682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704721",
"telephone_number": "786-877-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704721",
"telephone_number": "786-877-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNECELLI",
"first_name": "JEN",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.