Active NPI
Jennifer Reid Dellasanta, ICADC, LADC, MCAP
- Addiction (Substance Use Disorder) Counselor
- Leominster, MA
National Provider Identifier
1710295993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1423AD
- Practice address
- 29 Main St Ste 2
Leominster, MA 01453-5546 - Phone
- (978) 786-9660
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1423AD | MA | Primary |
Addresses
Primary practice location
29 Main St Ste 2
Leominster, MA 01453-5546
Mailing address
279 Abbott Ave
Leominster, MA 01453-2142
Phone (774) 253-2575
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 |
|---|---|---|---|
| 1423AD | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1710295993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 ABBOTT AVE",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532142",
"telephone_number": "774-253-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MAIN ST STE 2",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014535546",
"telephone_number": "978-786-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLASANTA",
"first_name": "JENNIFER",
"middle_name": "REID",
"credential": "ICADC, LADC, MCAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1423AD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.