Individual provider Active NPI

Jean Carolyn Pegg, LMHC

  • Mental Health Counselor
  • Taunton, MA
National Provider Identifier
1245305531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH862 Issued in MA
Practice address
7 Dean St
Associates in Behavioral Health
Taunton, MA 02780
Phone
(508) 822-1690
Fax
(508) 880-5389
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH862 MA Primary

Addresses

Primary practice location

7 Dean St
Associates in Behavioral Health
Taunton, MA 02780

Mailing address

3 Nestles Lane
East Freetown, MA 02717
Phone (508) 763-5909

Other identifiers 2

IdentifierTypeStateIssuer
1891154MedicaidMA
LM0296OtherMABCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240220003669 MA Practitioner - Mental Health Counselor 4587008370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Behavioral Health, LLCGroup PAC ID 0143329631, 6 clinicians

Practice addresses (Care Compare)

7 Dean St
Taunton, MA 02780-2725
Phone (508) 822-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH862MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Behavioral Health, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

7 Dean St
Taunton, MA 02780
Phone (508) 822-0006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245305531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NESTLES LANE",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "02717",
            "telephone_number": "508-763-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEAN ST",
            "address_2": "ASSOCIATES IN BEHAVIORAL HEALTH",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-822-1690",
            "fax_number": "508-880-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGG",
        "first_name": "JEAN",
        "middle_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "MH862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891154",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LM0296",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.