Individual provider Active NPI

Jessica Lyn Gagne-Griffin, LMHC

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1407464076
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10001238 Issued in MA
Practice address
126 Cove St
Fall River, MA 02720-1357
Phone
(508) 678-0041
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMHC10001238 MA
Mental Health Counselor 101YM0800X LMHC10001238 MA Primary

Addresses

Primary practice location

126 Cove St
Fall River, MA 02720-1357

Mailing address

126 Cove St
Fall River, MA 02720-1357
Phone (508) 678-0041

Other identifiers 1

IdentifierTypeStateIssuer
1OtherN/A

Other names 1

  • Jessica Lyn Gagne Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JessicaGagne20@outlook.com Health Information Exchange (HIE)

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
I20240102000917 MA Practitioner - Mental Health Counselor 7113377235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians
Creative Healing Space, LLCGroup PAC ID 2466891601, 2 clinicians

Practice addresses (Care Compare)

126 Cove St
Fall River, MA 02720-1306
Phone (508) 678-0041

283 Flint St
Fall River, MA 02723-1707
Phone (774) 264-3481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Space, LLC Mental Health CurrentSince Jul 10, 2025 Accepting new patients
The May Institute, Inc CurrentSince Aug 1, 2020 Accepting new patients
Northeast Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Northeast Health Services PastSince Jan 1, 2024 Accepting new patients

Locations

283 Flint St
Fall River, MA 02723
Phone (774) 264-3481

126 Cove St
Fall River, MA 02720
Phone (508) 678-0041

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1407464076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201357",
            "telephone_number": "508-678-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201357",
            "telephone_number": "508-678-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE-GRIFFIN",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC10001238",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10001238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JessicaGagne20@outlook.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "126 Cove St",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027201357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GAGNE",
            "middle_name": "LYN",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.