Individual provider Active NPI

Jodee Pineau-Chaisson, LMHC

  • Mental Health Counselor
  • West Springfield, MA
National Provider Identifier
1477848075
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21572 Issued in FL
Practice address
29 Warren St
West Springfield, MA 01089-2728
Phone
(413) 313-3670
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10179 MA
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X MH21572 FL Primary

Addresses

Primary practice location

29 Warren St
West Springfield, MA 01089-2728

Mailing address

3449 Waterloo Ter
North Port, FL 34286-7235
Phone (141) 331-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240124001031 FL Practitioner - Mental Health Counselor 9537512736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beth Davalos Counseling Center LLCGroup PAC ID 3375978414, 32 clinicians

Practice addresses (Care Compare)

540 E Horatio Ave
Suite 200
Maitland, FL 32751-7314
Phone (407) 401-9020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21572FLMDMental Health Counselor
10179MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Davalos Counseling Center LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

540 E Horatio Ave
Ste 200
Maitland, FL 32751
Phone (407) 401-9020

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1477848075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WATERLOO TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867235",
            "telephone_number": "141-331-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WARREN ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892728",
            "telephone_number": "413-313-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEAU-CHAISSON",
        "first_name": "JODEE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10179",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.