Active NPI
Jason Bettencourt, LMT
- Homeopath
- Peabody, MA
National Provider Identifier
1609197870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- License
- 7006
- Practice address
- 15 Chestnut St
Peabody, MA 01960-5429 - Phone
- (978) 998-9993
- NPI assigned
- Jun 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Homeopath | 175L00000X | 7006 | MA | Primary |
Addresses
Primary practice location
15 Chestnut St
Peabody, MA 01960-5429
Mailing address
6 Moulton Ave
Salem, MA 01970-2524
Phone (978) 998-9993
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 |
|---|---|---|---|
| 7006 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1609197870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MOULTON AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702524",
"telephone_number": "978-998-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CHESTNUT ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019605429",
"telephone_number": "978-998-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTENCOURT",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "MA",
"license": "7006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.