Individual provider Active NPI

Jessica Novoson, MS, LMHC

  • Mental Health Counselor
  • Hanover, MA
National Provider Identifier
1720360654
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9104 Issued in MA
Practice address
1112 Washington St Ste 14
Hanover, MA 02339-1696
Phone
(781) 561-8081
Fax
(833) 263-1965
NPI assigned
Sep 16, 2011
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 9104 MA Primary

Addresses

Primary practice location

1112 Washington St Ste 14
Hanover, MA 02339-1696

Mailing address

1112 Washington St Ste 14
Hanover, MA 02339-1696
Phone (781) 561-8081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 5, 2025 through Nov 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9104MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Pathways LLC Addiction (Substance Use Disorder) CurrentSince Jul 10, 2022 Accepting new patients

Locations

484 Bedford St
East Bridgewater, MA 02333

1112 Washington St
Ste 14
Hanover, MA 02339
Phone (781) 561-8081

Organizations & group practices 1

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": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1720360654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST STE 14",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391696",
            "telephone_number": "781-561-8081",
            "fax_number": "833-263-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST STE 14",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391696",
            "telephone_number": "781-561-8081",
            "fax_number": "833-263-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSON",
        "first_name": "JESSICA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

Verify at the official NPI Registry.