Active NPI
Jason Ri
- Mental Health Counselor
- Lynn, MA
National Provider Identifier
1760932271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9645
- Practice address
- 95 Pleasant St
Lynn, MA 01901-1524 - Phone
- (781) 581-4402
- Fax
- (781) 596-9209
- NPI assigned
- Oct 7, 2016
- Sex
- Male
- 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 | 9645 | MA | Primary |
Addresses
Primary practice location
95 Pleasant St
Lynn, MA 01901-1524
Mailing address
95 Pleasant St
Lynn, MA 01901-1524
Phone (781) 581-4402
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 |
|---|---|---|---|
| 9645 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1760932271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 PLEASANT ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011524",
"telephone_number": "781-581-4402",
"fax_number": "781-596-9209"
},
{
"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": "781-581-4402",
"fax_number": "781-596-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RI",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.