Jessica Bois, LMHC

Individual provider Active NPI Professional Counselor · Brewster, MA

NPI 1922408335 · NPPES record last updated Dec 22, 2021

Key facts

NPI
1922408335
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
11314 (MA)
Practice address
6 Granite State CT
Brewster, MA 02631-2127
Phone
(774) 722-1769
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11314MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Society for the Prevention of Cruelty to Children Past
since May 27, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11314 MA Yes

Addresses

Primary practice location

6 Granite State CT
Brewster, MA 02631-2127

Mailing address

6 Granite State CT
Brewster, MA 02631-2127

Other providers in Brewster, MA

All providers in Brewster, MA · Professional Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.