Individual provider Active NPI

Miesha Williams-Jeanty, M.ED.

  • Mental Health Counselor
  • Malden, MA
National Provider Identifier
1356846497
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC12690 Issued in MA
Practice address
51 Pleasant St # 782
Malden, MA 02148-4904
Phone
(617) 440-4650
Fax
(305) 402-7906
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC12690 MA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17200 MA

Addresses

Primary practice location

51 Pleasant St # 782
Malden, MA 02148-4904

Mailing address

51 Pleasant St # 782
Malden, MA 02148-4904
Phone (617) 440-4650

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
I20240208000259 MA Practitioner - Mental Health Counselor 5799128625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

51 Pleasant St
Suite 782
Malden, MA 02148-4904
Phone (617) 440-4650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
17200MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SB Transitional Sub, LLC CurrentSince Jan 1, 2024 Accepting new patients
Nzinga'S Place LLC Addiction (Substance Use Disorder) CurrentSince Jun 24, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1115 W Chestnut St
Brockton, MA 02301
Phone (508) 559-0473

103 Commercial St
Ste 2
Brockton, MA 02302

51 Pleasant St
Malden, MA 02148
Phone (617) 420-2296

541 Main St
Ste 303
Weymouth, MA 02190
Phone (781) 331-7866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1356846497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PLEASANT ST # 782",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484904",
            "telephone_number": "617-440-4650",
            "fax_number": "305-402-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PLEASANT ST # 782",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484904",
            "telephone_number": "617-440-4650",
            "fax_number": "305-402-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-JEANTY",
        "first_name": "MIESHA",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC12690",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "17200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.