Jill Evans Wuonola, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

116169 Issued in MA

Practice address

95 Pleasant St
Lynn, MA 01901-1524

Phone

(781) 581-4448

Fax

(781) 596-9992

NPI assigned

Sep 29, 2011

Last updated

Sep 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jill Elaine Evans Former name

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eliot Community Human Services

  dba Eliot Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
  • NPI 1679648182
  Medicare reassignment NPD
• Eliot Community Human Services, Inc.

  • Community/Behavioral Health Agency
  • Lynn, MA
  • NPI 1790069532
  Authorized official Same address or phone
• Eliot Community Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
  • NPI 1932271632
  NPD

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1760766422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "address_2": "#52",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011524",
            "telephone_number": "781-581-4448",
            "fax_number": "781-596-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011524",
            "telephone_number": "781-581-4448",
            "fax_number": "781-596-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUONOLA",
        "first_name": "JILL",
        "middle_name": "EVANS",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "116169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "EVANS",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Wood
• Bryan Woodward, PA-C
• Paula Wrenn, DMD
• Wendy K Wright Johnston, COTA/L
• Ying Wu-Freeman, OD
• Tamra Rae Wynn, DENTAL HYGIENIST
• Wyoma Square Wellness Center Corp
• Andrew F. Xeros, RPH
• Ning N Xie, FNP-C, RN
• Steeve Yamadjako, DPM

• Mental Health Counselor in Lynn, MA
• Providers in Lynn, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.