Jessica Lee Dagenais, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8450 Issued in MA

Practice address

2 Allen St Ste F
Hampden, MA 01036-9552

Phone

(513) 817-1487

Fax

(860) 971-3364

NPI assigned

May 16, 2011

Last updated

Mar 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Steward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1679866230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060710021",
            "telephone_number": "413-595-2079",
            "fax_number": "860-971-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST STE F",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "010369552",
            "telephone_number": "513-817-1487",
            "fax_number": "860-971-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043736",
            "country_code": "US",
            "telephone_number": "413-733-7875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGENAIS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8450",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STEWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea L Bailey, LMHC
• Joseph P Costanzo, EDD
• D. Lawrence Counseling, LLC
• Cynthia L Forte, RN,LMT
• Cynthia M Galavotti, D.P.M.
• Kamilla Gamidova
• Valerie Gonzalez
• Hampden Health and Rehabilitation Center LLC (Pine Mountain Rehabilitation and Nursing Center)

• Mental Health Counselor in Hampden, MA
• Providers in Hampden, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.