Jessica Adonteng
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sturbridge, MA
NPI 1487905980 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1487905980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 468 Main Street
Sturbridge, MA 01518 - Phone
- (774) 452-9533
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 11097 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Systems Inc | Past | Accepting new patients |
Interoperability endpoints
- jadonteng@bwellcounseling.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes | ||
| Mental Health Counselor | 101YM0800X | 11097 | MA | |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
468 Main Street
Sturbridge, MA 01518
Mailing address
93 Leno Rd
Holland, MA 01521-2707
Phone (774) 452-9533
Other practice location 1
129 Hartford Tpke
Shrewsbury, MA 01545-4600
Phone (774) 452-9533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18684 | Other | MA | BLUE CROSS BLUE SHEILD |
| 1308785 | Medicaid | MA | |
| 1306421 | Medicaid | MA | |
| 22220002001 | Other | MA | BLUE CROSS BLUE SHEILD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jadonteng@BWellcounseling.net | Health Information Exchange (HIE) |
Other providers in Sturbridge, MA
- Mohamed Hashi Abib
- Alessia Acosta
- Admeco Family Services
- Arturo Aguillon-Bouche
- Julian Alvarado
- Alyssa D. Oleary, M.S., CCC-SLP, LLC
- Yamaris Amalbert
- Elizabeth Marie Anderson
All providers in Sturbridge, MA · Addiction (Substance Use Disorder) 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 Jul 9, 2021. 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.