Thais Jardim, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

229264 Issued in MA

Practice address

288 Bedford St
Whitman, MA 02382-1820

Phone

(781) 447-6425

NPI assigned

Oct 31, 2023

Last updated

Oct 31, 2023By the provider in NPPES

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Fordham University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brockton Area Multi-Services, Inc.Group PAC ID 9133161953, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brockton Area Multi-Services, Inc.

  • Mental Health Counselor
  • Whitman, MA
  • NPI 1437101839
  Medicare reassignment Care Compare group NPD
• Whitman Counseling

  • Exclusive Provider Organization
  • Whitman, MA
  • NPI 1194051524
  NPD (past)

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1215700455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PARK AVE",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821418",
            "telephone_number": "781-534-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821820",
            "telephone_number": "781-447-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDIM",
        "first_name": "THAIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "229264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hayden
• Emily B Holmes, LICSW
• Rosemarie T Hunter
• Imani Healthcare Limited Liability Company
• Myriame Jacques
• John R Bonasera, DMD, LLC
• Monica R. Johnson, MA
• Joseph Edwald Francois (Massachusetts Care Services)
• Magdala Bordes Joseph, LCSW
• Jeannie Marie Kamperides, JEANNIE KAMPERIDES

• Mental Health Counselor in Whitman, MA
• Providers in Whitman, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.