Active NPI
Kelsi Jarvis
- Counselor
- Ware, MA
National Provider Identifier
1497109748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- S82332852
- Practice address
- 89 Main St
Ware, MA 01082-1480 - Phone
- (413) 250-7196
- NPI assigned
- Apr 22, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | S82332852 | MA | Primary |
Addresses
Primary practice location
89 Main St
Ware, MA 01082-1480
Mailing address
89 Main St
Ware, MA 01082-1480
Phone (413) 250-7196
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S82332852 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1497109748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MAIN ST",
"city": "WARE",
"state": "MA",
"postal_code": "010821480",
"telephone_number": "413-250-7196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MAIN ST",
"city": "WARE",
"state": "MA",
"postal_code": "010821480",
"telephone_number": "413-250-7196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "KELSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "S82332852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ware, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.