Jennifer Rose Anderson
Individual provider Active NPI Counselor · Natick, MA
NPI 1548024094 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1548024094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 17 Beacon St
Natick, MA 01760-2803 - Phone
- (774) 286-0483
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
17 Beacon St
Natick, MA 01760-2803
Mailing address
17 Beacon St
Natick, MA 01760-2803
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. 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.