Jennifer Annne Matiyosus

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

283 Birchbark Dr
Hanson, MA 02341-2103

Phone

(339) 788-7873

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1205196268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 BIRCHBARK DR",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023412103",
            "telephone_number": "339-788-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 BIRCHBARK DR",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023412103",
            "telephone_number": "339-788-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIYOSUS",
        "first_name": "JENNIFER",
        "middle_name": "ANNNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Le, PHARMD
• Scot Edward Lyall, DDS
• Vicki Lynn Lyall, PH.D.
• Amanda Macvicar-Corbett
• Samantha Marshall
• Kerry Lynn McGee
• Lee A McIntyre Daoulas
• Paul F Medico, R.PH.
• Mary E Mercier, LCSW
• Thomas Mulcahy, MD

• Addiction (Substance Use Disorder) Counselor in Hanson, MA
• Providers in Hanson, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.