Active NPI
Surabhi Jain, MS
- Professional Counselor
- Hopkinton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 77 Main St Ste 2
Hopkinton, MA 01748-1193 - Phone
- (508) 589-5333
- Fax
- (774) 250-2693
- NPI assigned
- Oct 5, 2021
- Last updated
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
77 Main St Ste 2
Hopkinton, MA 01748-1193
Mailing address
77 Main St Ste 2
Hopkinton, MA 01748-1193
Phone (508) 589-5333
Other practice location 1
73 Newbury St Ste 400
Boston, MA 02116-3053
Phone (617) 223-7549
Other practice location 2
20 Cabot Blvd Ste 227
Mansfield, MA 02048-1183
Phone (508) 589-5333
Other practice location 3
1 Clarks Hl Ste 302
Framingham, MA 01702-8172
Phone (508) 589-5333
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vendetti Wellness Group, PC | Current | Accepting new patients | |
| Apex Behavioral Consulting LLC | Past | Accepting new patients |
Locations
1 Clarks Hl
Ste 302
Framingham, MA 01702
Phone (508) 589-5333
77 Main St
Ste 2
Hopkinton, MA 01748
Phone (508) 589-5333
20 Cabot Blvd
Ste 227
Mansfield, MA 02048
Phone (508) 589-5333
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.
-
- Community/Behavioral Health Agency
- Framingham, MA
- NPI 1952836546
-
- Behavior Analyst
- Boston, MA
- NPI 1609176213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1275205510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 MAIN ST STE 2",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481193",
"telephone_number": "508-589-5333",
"fax_number": "774-250-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MAIN ST STE 2",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481193",
"telephone_number": "508-589-5333",
"fax_number": "774-250-2693"
}
],
"practiceLocations": [
{
"address_1": "73 Newbury St Ste 400",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021163053",
"country_code": "US",
"telephone_number": "617-223-7549",
"fax_number": "815-377-2574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Cabot Blvd Ste 227",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "MA",
"postal_code": "020481183",
"country_code": "US",
"telephone_number": "508-589-5333",
"fax_number": "774-250-2693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Clarks Hl Ste 302",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017028172",
"country_code": "US",
"telephone_number": "508-589-5333",
"fax_number": "774-250-2693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "SURABHI",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinton, MA
- Shanna E Hudgin
- Jennifer Lynn Hurley, LMHC
- Shandell Leigh Iannone
- Inner Harmony Wellness, LLC
- Integrity Pharmacy Services LLC (Integrity Pharmacy Services)
- Kevin C. Jillson, M.D.
- John N. Pandiscio, M.D. Family Medicine
- Arielle Johnson, PA-C
- Erin Elizabeth Jones, PT, DPT, GCS
- Colleen Anne Josefek, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.