Jessica Tamara Mowatt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13519 Issued in MA

Practice address

780 Albany St
Boston, MA 02118

Phone

(857) 654-1000

Fax

(857) 654-1100

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boston Health Care for the Homeless Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1033157771
  NPD
• Boston Health Care for the Homeless Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1063655678
  NPD
• Boston Health Care for the Homeless Program, Inc.

  • Community/Retail Pharmacy
  • Boston, MA
  • NPI 1194443531
  NPD
• Community Health Care, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westfield, MA
  • NPI 1912980251

  Addiction (Substance Use Disorder)

  NPD (past)
• Community Physicians PC

  • Methadone Clinic
  • Portland, ME
  • NPI 1316242209
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1093357592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182755",
            "telephone_number": "857-654-1000",
            "fax_number": "857-654-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "857-654-1000",
            "fax_number": "857-654-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MA",
            "postal_code": "021503009",
            "country_code": "US",
            "telephone_number": "617-889-8779 x3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWATT",
        "first_name": "JESSICA",
        "middle_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-11-30",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent William Mouw, M.D., PH.D.
• Movement in the Moment Inc.
• Rebecca Moverman
• Jessica Lee Mow
• Hani Mowafi, MD
• Beverly Moy, MD
• Caressa Lynne Moy, LMT
• Marilyn Lilun Moy, MD
• Alissa Moyer, MPT
• John Moyer

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.