Individual provider Active NPI

Jennifer Amanda Almeida I, LADC 1

  • Addiction (Substance Use Disorder) Counselor
  • Quincy, MA
National Provider Identifier
1902478142
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19609 Issued in MA
Practice address
36 Miller Stile Rd
Quincy, MA 02169-5423
Phone
(978) 604-5773
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19609 MA Primary

Addresses

Primary practice location

36 Miller Stile Rd
Quincy, MA 02169-5423

Mailing address

36 Miller Stile Rd
Quincy, MA 02169-5423
Phone (978) 604-5773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19609MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Addictions Treatment Center CurrentSince Jul 25, 2021 Accepting new patients

Locations

36 Miller Stile Rd
Quincy, MA 02169
Phone (617) 302-3487

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1902478142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MILLER STILE RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695423",
            "telephone_number": "978-604-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MILLER STILE RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695423",
            "telephone_number": "978-604-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMEIDA",
        "first_name": "JENNIFER",
        "middle_name": "AMANDA",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "LADC 1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "19609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.