Jessica Champagne
Individual provider Active NPI Mental Health Counselor · Wrentham, MA
NPI 1164005229 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1164005229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 378 Madison St
Wrentham, MA 02093-1483 - Phone
- (774) 291-2471
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250411001358 | MA | Practitioner - Clinical Social Worker | 1456875442 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Counseling Services, Inc | Mental Health | Current |
Accepting new patients |
Locations
233 W Central St
Ste 3
Franklin, MA 02038
Phone (781) 742-4515
65 Holbrook St
Ste 220
Norfolk, MA 02056
Phone (781) 742-4515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
378 Madison St
Wrentham, MA 02093-1483
Mailing address
378 Madison St
Wrentham, MA 02093-1483
Phone (774) 291-2471
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica@yoursummit.net |
Other providers in Wrentham, MA
- John Calicchia
- Tracee Lynne Campo
- Kellsie Marie Capece Alger
- Julia Lopes Cardoso
- Meghan Castaneda
- Kayla Chan
- Emeka Ikenna Chidebe
- Child Builders ABA LLC
- Halley Jakes Choiniere
- Joseph Francis Coffin
All providers in Wrentham, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.