KHADEEJAH HASSAN (NPI# 1528381597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528381597 |
| Entity Type | Individual |
| Full Name | KHADEEJAH HASSAN |
| Credential | LPN, LICSW |
| Practice Address |
20 Edgewood Rd Pittsfield MA 01201-3306 |
| Mailing Address |
1 Fenn St Pittsfield MA 01201-6278 |
| Practice Telephone | 4134467217 |
| Mailing Telephone | 4136291251 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Feen St, Administrative Offices, Pittsfield, MA 01201 | 4136291251 | 4134482198 |
| Street Address |
20 EDGEWOOD RD |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560350 | Compass Home Care Services LLC | Licensed Practical Nurse | 20 Edgewood Rd, Pittsfield, MA 01201-3306 | 2020-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| 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 |
|---|---|---|---|---|
| 1780233619 | Michelle Lee Slatergoggia | Counselor | 95 Elmer Ave, Pittsfield, MA 01201-8636 | 2019-09-04 |
| 1275995854 | Molly Holmes | Counselor | 7 Loumar Dr, Pittsfield, MA 01201-5932 | 2016-03-23 |
| 1932560109 | Nicole Marie Hebert | Counselor | 877 South St Ste 200, Pittsfield, MA 01201-8243 | 2016-03-15 |
| 1538569868 | Tiffany Henry | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2014-08-22 |
| 1871892265 | William Pleu | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2011-03-24 |
| 1902111230 | Jessica Caritey | Counselor | 1 Fenn Strett, Administrative Offices, Pittsfield, MA 01201 | 2010-08-11 |
| 1306167432 | Maureen Sweeney | Counselor | 126 Mountain Dr, Pittsfield, MA 01201-7420 | 2010-06-11 |
| 1487982195 | Michael Fitzgerald | Counselor | The Brien Center 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 | 2009-11-19 |
| 1982930772 | Candace Mozzi | Counselor | 19 Richard Dr, Pittsfield, MA 01201-7422 | 2009-10-29 |
| 1801129739 | Rebecca Polastri | Counselor | 1 Fenn Street, Administrative Offices, Pittsfield, MA 01201 | 2009-09-10 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.