Jason Etting

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

66 Main St
Wakefield, RI 02879-3651

Phone

(401) 684-0567

NPI assigned

Apr 30, 2025

Last updated

Jan 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ri Walk & Talk Therapy

  • Mental Health Counselor
  • Wakefield, RI
  • NPI 1629928528
  Medicare reassignment NPD (past)
• Me Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1043502214
  NPD

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1417745233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793651",
            "telephone_number": "401-684-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793651",
            "telephone_number": "401-684-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Waterman St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064015",
            "country_code": "US",
            "telephone_number": "401-633-2929",
            "fax_number": "888-602-6957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTING",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenyth Hughes Edwards, PHD
• Christopher Eggeman, PHARMD
• Kristin Linnea Eidam, M.S., CCC-A
• Emergency Physician Associates of New England PC
• Todd Estus, PHARMD
• Evolvemd, LLC (SeaMist MedSpa)
• Emily Kay Fails, MSN, APRN, FNP-C
• Bruce Edward Famiglietti, MD
• Family Doctor Plus Ri LLC
• Nicole Fantoni, O.D.

• Mental Health Counselor in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.