JENNIFER L PELLETIER (NPI# 1437373313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437373313 |
Entity Type | Individual |
Full Name | JENNIFER L PELLETIER |
Credential | LSW |
Practice Address |
9 Hillcrest Ave Randolph ME 04346-5131 |
Mailing Address |
899 Riverside St Portland ME 04103-1070 |
Practice Telephone | 2075829206 |
Practice Fax Number | 2075829652 |
Mailing Telephone | 2078711200 |
Mailing Fax Number | 2078711232 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2019-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | CC4825 | ME | Behavioral Health & Social Service Providers |
N | 171W00000X | Contractor | LS6727 | ME | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356999833 | Jennifer Pelletier | Psychologist | Carr 167 Ave. Comerio Final, Bo. Sabana Seca, Toa Baja, PR 00949 | 2019-08-28 |
1972986842 | Jennifer Lynn Pelletier | Dietitian, Registered | 100 Mizzou Athl Training Complex, Columbia, MO 65211-0001 | 2015-07-09 |
1053520213 | Jennifer Jean Pelletier | Music Therapist | 316 Archibald Ln, Dundas, MN 55019-3949 | 2007-05-22 |
1932532959 | Jennifer E Pelletier | Counselor | 100 Hospitality Drive, Berlin, VT 05602 | 2013-08-13 |
1669787537 | Jennifer Ann Pelletier | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2010-08-16 |
Street Address |
9 HILLCREST AVE |
City | RANDOLPH |
State | ME |
Zip Code | 04346-5131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154451599 | Jenny L Mcgraw | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-03-06 |
1124675145 | Sean Cochrane | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2019-08-23 |
1417420969 | Michelle Harris | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2019-01-08 |
1790050961 | Corrie M Hunkler | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2012-03-20 |
1154696771 | Joelle Marie Bouchard | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2012-03-15 |
1649411224 | Paula P Lindsey | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2009-03-12 |
1457549834 | Roy E Siegfriedt | Counselor | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-10-10 |
1144439928 | Rebecca Donaldson Patkus | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-05-21 |
1588870661 | Jaynelle Rae Smith | Social Worker | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-05-15 |
1376760694 | Jennifer G Hallowell | Counselor | 9 Hillcrest Ave, Randolph, ME 04346-5131 | 2007-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396900585 | Carla Jane Mowatt | Counselor | 9 Hillcrest Avenue, Randolph, ME 04346 | 2008-07-28 |
1558610881 | Michele Ann Mathieu Burgess | Social Worker | 9 Hillcrest Avenue, Randolph, ME 04346 | 2012-08-31 |
1760637342 | Bonny Lee Saxon | Specialist | 129 Water St, Randolph, ME 04346-5101 | 2008-11-24 |
1326376955 | Jesse Higgins Fournier | Occupational Therapy Assistant | 35 Belmont Ave, Randolph, ME 04346-5107 | 2009-11-19 |
1619246998 | Rebecca A Martin | Counselor | 28 School St, Randolph, ME 04346-5146 | 2011-12-15 |
1891923934 | Leane F Mcmaster | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Windsor St, Randolph, ME 04346-5201 | 2009-06-28 |
1447247846 | Community Pharmacies LLC. | Durable Medical Equipment & Medical Supplies | 268 Water St, Randolph, ME 04346-5217 | 2005-09-30 |
1972970549 | Paula Knight | Pharmacist | 268 Water St, Randolph, ME 04346-5217 | 2015-08-30 |
1912373747 | Lori Beth Wood | Pharmacist | 268 Water St, Randolph, ME 04346-5217 | 2015-08-17 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780156000 | Taisha Dorsainvil | Counselor | 43 Highland Ave Apt 26, Randolph, MA 02368-4525 | 2018-12-27 |
1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
1215314992 | Lyonel Traversiere | Counselor | 58 Althea Rd, Randolph, MA 02368-2950 | 2015-05-01 |
1063849768 | Patrice Augustin | Counselor | 7 Smith Rd, Randolph, MA 02368-2941 | 2013-09-26 |
1497007959 | Briget Bride | Counselor | 14 Darrell Dr, Randolph, MA 02368-4810 | 2012-10-09 |
1770857211 | Rosita Camarao | Counselor | 14101 Chestnut W, Randolph, MA 02368-6359 | 2012-03-01 |
1063714384 | Daphne Rollande Claudomir | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368 | 2010-11-18 |
1942459375 | Lannie Lee | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2008-09-10 |
1144820267 | Michael Teixeira | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2020-10-28 |
1346863693 | Brian Gonsalves | Counselor | 248 High St, Randolph, MA 02368-1837 | 2020-05-21 |
Find all providers in RANDOLPH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.