Active NPI
Jyoti Michele Daniere, LCMHC
- Mental Health Counselor
- Belmont, MA
National Provider Identifier
1104907971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9069
- Practice address
- 16 Clyde St
Belmont, MA 02478-3909 - Phone
- (617) 657-9256
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000096 | VT | |
| Mental Health Counselor | 101YM0800X | 9069 | MA | Primary |
Addresses
Primary practice location
16 Clyde St
Belmont, MA 02478-3909
Mailing address
16 Clyde St
Belmont, MA 02478-3909
Phone (617) 657-9256
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007427 | Medicaid | VT | |
| 095181 | Other | VT | VALUE OPTIONS |
| 180007 | Other | VT | BCBSVT |
| 63V241 | Other | VT | MVP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000096 | VT | MD | Mental Health Counselor |
| 9069 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415491200000",
"number": "1104907971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CLYDE ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783909",
"telephone_number": "617-657-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CLYDE ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783909",
"telephone_number": "617-657-9256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIERE",
"first_name": "JYOTI",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2014-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000096",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007427",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "095181",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSVT",
"identifier": "180007",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "63V241",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.