Organization Active NPI

Jean Counseling Incorporated

  • Adolescent and Children Mental Health Clinic/Center
  • Malden, MA
National Provider Identifier
1962922278
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JEAN COUNSELING INCORPORATED
Practice address
42 Revere St
Malden, MA 02148
Phone
(857) 246-4044
Fax
(617) 545-5560
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Salnave Jean, M.ED
Title
Ceo
Phone
(857) 246-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

42 Revere St
Malden, MA 02148

Mailing address

42 Revere St
Malden, MA 02148-4725
Phone (857) 246-4044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962922278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 REVERE ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484725",
            "telephone_number": "857-246-4044",
            "fax_number": "617-545-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 REVERE ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "857-246-4044",
            "fax_number": "617-545-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN COUNSELING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "SALNAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-246-4044",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.