Individual provider Active NPI

Julianne Wilson, LMFT

  • Marriage & Family Therapist
  • Greenfield, MA
National Provider Identifier
1265967921
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
S39913568 Issued in MA
Practice address
489 Bernardston Rd
Greenfield, MA 01301-1238
Phone
(413) 512-5833
NPI assigned
May 1, 2017
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X S39913568 MA Primary

Addresses

Primary practice location

489 Bernardston Rd
Greenfield, MA 01301-1238

Mailing address

164 Granby Rd
South Hadley, MA 01075-2952
Phone (141) 323-0566

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
I20240209003580 MA Practitioner - Marriage and Family Therapist 9931542578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Main St
Suite 2
Greenfield, MA 01301-3275
Phone (413) 774-6252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S39913568MAMDMarriage & Family Therapist
1829MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Jan 1, 2024 Accepting new patients
Center for Human Development, Inc. Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

102 Main St
Greenfield, MA 01301
Phone (413) 325-8500

102 Main St
Ste 2
Greenfield, MA 01301
Phone (413) 262-0193

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1265967921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 GRANBY RD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752952",
            "telephone_number": "141-323-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 BERNARDSTON RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011238",
            "telephone_number": "413-512-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JULIANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "S39913568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.