Active NPI
Amanda Camila Piekstra Jara de la Vega
- Mental Health Counselor
- Framingham, MA
National Provider Identifier
1760207419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 111 Speen St Ste 110
Framingham, MA 01701-2092 - Phone
- (617) 250-0226
- NPI assigned
- Nov 18, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
111 Speen St Ste 110
Framingham, MA 01701-2092
Mailing address
61 Locust St Apt 208
Medford, MA 02155-5797
Phone (786) 352-6063
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1760207419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 LOCUST ST APT 208",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555797",
"telephone_number": "786-352-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SPEEN ST STE 110",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017012092",
"telephone_number": "617-250-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEKSTRA JARA DE LA VEGA",
"first_name": "AMANDA",
"middle_name": "CAMILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.