Jerry Ayantola, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

60 Harvard St
Worcester, MA 01609-2743

Phone

(508) 755-6843

Fax

(508) 799-8947

NPI assigned

May 2, 2011

Sex

Male

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 Education

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1871884338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ENDICOTT ST",
            "address_2": "APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HARVARD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092743",
            "telephone_number": "508-755-6843",
            "fax_number": "508-799-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYANTOLA",
        "first_name": "JERRY",
        "name_prefix": "Mr.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Awad
• Winifred Osei Awuah, RN, BSN
• Daniel Awuku-Asante
• Harold Jackson Ayala Rodriguez
• Beatriz Ayala, BS
• Josh Ayantola
• Sonali P. Ayar, MD
• Jad Ayash, MD
• Gamze Ayata, MD
• Joyce Aydin

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, 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 May 2, 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.

Verify at the official NPI Registry.