Active NPI
Jennifer Eaton, M.S.
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1780966416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5634
- Practice address
- 4 Mann St
Worcester, MA 01602-3414 - Phone
- (508) 755-0333
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 5634 | MA | Primary |
Addresses
Primary practice location
4 Mann St
Worcester, MA 01602-3414
Mailing address
4 Mann St
Worcester, MA 01602-3414
Phone (508) 755-0333
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5634 | MA | MD | Mental Health Counselor |
Interoperability endpoints
- jennifer.eaton.npi1780966416.reliant@direct.optumcare.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1780966416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MANN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023414",
"telephone_number": "508-755-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MANN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023414",
"telephone_number": "508-755-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "JENNIFER",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
- East Coast Dental Care, PC
- Eastern & Western Medical Center PC
- Eastern and Western Medical Center
- Eastern Orthodox Management Corp. (d/b/a Holy Trinity Hospice)
- Eastern Orthodox Management Corporation (Holy Trinity Nursing and Rehabilitation Center)
- Judith Eaton, M.D.
- Heidi E Ebers
- Christopher Daniel Ebner, MD
- Pantea Ebrahimpour, M.D.
- Olivia Elyse Echelson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.