Jillian Alfeo
Individual provider Active NPI Mental Health Counselor · Douglas, MA
NPI 1457744864 · NPPES record last updated Mar 9, 2015
Key facts
- NPI
- 1457744864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7653 (MA)
- Practice address
- 306 Main St
Douglas, MA 01516-2178 - Phone
- (617) 347-9199
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7653 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7653 | MA | Yes |
Addresses
Primary practice location
306 Main St
Douglas, MA 01516-2178
Mailing address
PO Box 1283
Douglas, MA 01516-1283
Phone (617) 347-9199
Other providers in Douglas, MA
- Brinley Bywater Barton
- Lindsey Beaird
- Bfox Counseling LLC
- Blackstone Valley Natural Health Center, P.C.
- Danya Lee Butterfield
All providers in Douglas, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.