Individual provider Active NPI

Jessica Ronalds, MED LMHC

  • Mental Health Counselor
  • Acton, MA
National Provider Identifier
1396897112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC2013 Issued in MA
Practice address
518 Great Rd
Boundaries Therapy Center
Acton, MA 01720-3415
Phone
(978) 263-4878
Fax
(978) 635-0386
NPI assigned
Jan 18, 2007
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 LMHC2013 MA Primary

Addresses

Primary practice location

518 Great Rd
Boundaries Therapy Center
Acton, MA 01720-3415

Mailing address

63 Sorrel Rd
Concord, MA 01742-3415
Phone (978) 369-6509

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 Education

State licenses

LicenseStateTypeSpecialty
LMHC2013MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Services Inc Past Accepting new patients

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396897112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SORREL RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423415",
            "telephone_number": "978-369-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 GREAT RD",
            "address_2": "BOUNDARIES THERAPY CENTER",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203415",
            "telephone_number": "978-263-4878",
            "fax_number": "978-635-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONALDS",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "MED LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.