Individual provider Active NPI

Jessica Greeney, LMHC

  • Mental Health Counselor
  • Mashpee, MA
National Provider Identifier
1710151352
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10209 Issued in MA
Practice address
800 Falmouth Rd
Mashpee, MA 02649-3303
Phone
(774) 251-9071
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 10209 MA Primary

Addresses

Primary practice location

800 Falmouth Rd
Mashpee, MA 02649-3303

Mailing address

1 Hoyt St FL 7
Brooklyn, NY 11201-5809

Other practice location 1

1025 Main St Unit B
West Barnstable, MA 02668-1163
Phone (774) 251-9071

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
I20240201002405 MA Practitioner - Mental Health Counselor 8921451303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10209MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnold, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Dragonfly Psychotherapy LLC Mental Health CurrentSince Aug 28, 2021 Accepting new patients

Locations

1185 Falmouth Rd
Centerville, MA 02632
Phone (508) 862-9929

196 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 548-7118

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

1025 Main St
Unit B
West Barnstable, MA 02668
Phone (774) 251-9071

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1710151352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOYT ST FL 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FALMOUTH RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493303",
            "telephone_number": "774-251-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Main St Unit B",
            "address_purpose": "LOCATION",
            "city": "West Barnstable",
            "state": "MA",
            "postal_code": "026681163",
            "country_code": "US",
            "telephone_number": "774-251-9071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENEY",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.