Active NPI
Jacelyn Diaz
- Counselor
- Holyoke, MA
National Provider Identifier
1144842881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 319 Beech St
Holyoke, MA 01040-3968 - Phone
- (413) 540-1115
- NPI assigned
- May 16, 2020
- Last updated
- May 16, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary | |
| School Counselor | 101YS0200X | NU |
Addresses
Primary practice location
319 Beech St
Holyoke, MA 01040-3968
Mailing address
319 Beech St
Holyoke, MA 01040-3968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042174657 | Medicaid | MA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Past | Accepting new patients |
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.
-
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- Cambridge, MA
- NPI 1912633975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589587200000",
"number": "1144842881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 BEECH ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010403968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 BEECH ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010403968",
"telephone_number": "413-540-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JACELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-16",
"last_updated": "2020-05-16",
"certification_date": "2020-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042174657",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.