Organization Active NPI

Jennifer Mello Licsw LLC

  • Counselor
  • Plymouth, MA
National Provider Identifier
1710441639
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
JENNIFER MELLO LICSW LLC
Practice address
147 Court St
Plymouth, MA 02360-8724
Phone
(508) 591-0569
NPI assigned
Jan 24, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dawn Lawler
Title
Off MGR
Phone
(800) 735-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

147 Court St
Plymouth, MA 02360-8724

Mailing address

16 Chilton St Apt 3
Plymouth, MA 02360-8706
Phone (508) 591-0569

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1710441639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHILTON ST APT 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608706",
            "telephone_number": "508-591-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608724",
            "telephone_number": "508-591-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MELLO LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "800-735-8951"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.