Jillian H Pavadore, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11804-MH-CC Issued in MA

Practice address

18 Central Ave
Assonet, MA 02702-1358

Phone

(774) 306-7114

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Room to Grow Counseling and Wellness

  • Mental Health Counselor
  • Raynham, MA
  • NPI 1851129266
  NPD Authorized official

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1831789148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PINE ST",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671119",
            "telephone_number": "774-306-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CENTRAL AVE",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021358",
            "telephone_number": "774-306-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVADORE",
        "first_name": "JILLIAN",
        "middle_name": "H",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11804-MH-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vania C Mendonca
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• Mental Health Counselor in Assonet, MA
• Providers in Assonet, 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 Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.