Active NPI
Jennifer Marisa Mitchell, M.ED.
- School Counselor
- Boston, MA
National Provider Identifier
1477830495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 438105
- Practice address
- 25 Staniford St FL 2
Boston Emergency Servies Team
Boston, MA 02114-2503 - Phone
- (800) 981-4353
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 438105 | MA | Primary |
Addresses
Primary practice location
25 Staniford St FL 2
Boston Emergency Servies Team
Boston, MA 02114-2503
Mailing address
33 I St Apt 1
South Boston, MA 02127-1429
Phone (508) 935-7515
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
| License | State | Type | Specialty |
|---|---|---|---|
| 438105 | MA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1477830495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 I ST APT 1",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021271429",
"telephone_number": "508-935-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 STANIFORD ST FL 2",
"address_2": "BOSTON EMERGENCY SERVIES TEAM",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142503",
"telephone_number": "800-981-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JENNIFER",
"middle_name": "MARISA",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "438105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.