Active NPI
Jeffrey David Shotland
- Counselor
- Northampton, MA
National Provider Identifier
1245806843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 168 Crescent St
Northampton, MA 01060-2169 - Phone
- (413) 374-1611
- NPI assigned
- Jun 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
168 Crescent St
Northampton, MA 01060-2169
Mailing address
168 Crescent St
Northampton, MA 01060-2169
Phone (413) 374-1611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1245806843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 CRESCENT ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602169",
"telephone_number": "413-374-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 CRESCENT ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602169",
"telephone_number": "413-374-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOTLAND",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.