Jazzlyn Mae Casula

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3 Blackburn Ctr
Gloucester, MA 01930-2268

Phone

(978) 283-7198

NPI assigned

Nov 27, 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

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 and National Provider Directory roles.

• Justice Resource Institute, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, MA
  • NPI 1093787095
  NPD

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1891452710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 EATON RD",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702710",
            "telephone_number": "856-759-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLACKBURN CTR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302268",
            "telephone_number": "978-283-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASULA",
        "first_name": "JAZZLYN",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Carapellucci
• Thomas V Carbone, MD
• Amanda Carlos, DMD
• Mary Carpenter
• Erica Jay Carroll
• Barbara E Cavanaugh
• Susan Franklin Cecilio, PT
• Judith Ceglarski
• Nathalie Marie-Carmen Celestin, M.D.
• Mary C Chao, LMHC

• All providers in Gloucester, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.