Individual provider Active NPI

Jenna Mehlhorn

  • Mental Health Counselor
  • Newton Centre, MA
National Provider Identifier
1679076558
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1320 Centre St
Newton Centre, MA 02459-2497
Phone
(617) 558-1881
NPI assigned
Mar 16, 2018
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1320 Centre St
Newton Centre, MA 02459-2497

Mailing address

1320 Centre St
Newton Centre, MA 02459-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627003642 MA Practitioner - Mental Health Counselor 5395258818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multi-Service Eating Disorders Association IncGroup PAC ID 8628408697, 4 clinicians

Practice addresses (Care Compare)

1320 Centre St
Suite 101
Newton, MA 02459-2400
Phone (617) 558-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Service Eating Disorders Association Inc CurrentSince Jun 11, 2025 Accepting new patients
Maine School Administrative District No 55 PastSince Oct 1, 2019 Accepting new patients
Maine School Administrative District No 55 PastSince Oct 1, 2019 Accepting new patients

Locations

1320 Centre St
Ste 101
Newton Centre, MA 02459
Phone (603) 793-2114

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1679076558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CENTRE ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRE ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592497",
            "telephone_number": "617-558-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLHORN",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

Verify at the official NPI Registry.