Organization Active NPI

Jennifer Eberle

  • Community/Behavioral Health Agency
  • Fall River, MA
National Provider Identifier
1194131524
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNIFER EBERLE
Practice address
1563 N Main St
Suite 202
Fall River, MA 02720-2983
Phone
(774) 365-5999
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Jennifer Eberle, LCSW
Title
Counselor
Phone
(774) 365-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1563 N Main St
Suite 202
Fall River, MA 02720-2983

Mailing address

1563 N Main St
Suite 202
Fall River, MA 02720-2983
Phone (774) 365-5999

National Provider Directory

National Provider Directory

Locations

1563 N Main St
Ste 202
Fall River, MA 02720
Phone (508) 324-0328

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1194131524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202983",
            "telephone_number": "774-365-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202983",
            "telephone_number": "774-365-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER EBERLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "774-365-6999",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.