Active NPI
Jennifer Ann Pasternak, M.S.
- School Counselor
- Springfield, MA
National Provider Identifier
1629384672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 440071
- Practice address
- 417 Liberty St
Springfield, MA 01104-3736 - Phone
- (413) 747-0705
- Fax
- (413) 732-7075
- NPI assigned
- Aug 27, 2010
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 440071 | MA | Primary |
Addresses
Primary practice location
417 Liberty St
Springfield, MA 01104-3736
Mailing address
64 Longwood Ave
Holyoke, MA 01040-2915
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 440071 | MA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1629384672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 LONGWOOD AVE",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 LIBERTY ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011043736",
"telephone_number": "413-747-0705",
"fax_number": "413-732-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTERNAK",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "440071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.