PROSPER KODJO (NPI# 1558662163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558662163 |
| Entity Type | Individual |
| Full Name | PROSPER KODJO |
| Practice Address |
1 Fenn St Administrative Offices Pittsfield MA 01201-6278 |
| Practice Telephone | 4136291251 |
| Practice Fax Number | 4134482198 |
| Mailing Telephone | 4136291251 |
| Mailing Fax Number | 4134482198 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1 FENN ST ADMINISTRATIVE OFFICES |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891817763 | Susan Doscher | Social Worker | 1 Fenn St, Brien Center Hr, Pittsfield, MA 01201-6278 | 2007-04-04 |
| 1568742088 | Berkshire County Boards of Health Association Inc | Clinic/Center | 1 Fenn St, Suite 302, Pittsfield, MA 01201-6278 | 2011-08-29 |
| 1144527672 | Angela Buchauer | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2011-02-18 |
| 1982908729 | Lorie Ann Bolte | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2011-01-10 |
| 1003110123 | Jill Marion | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2011-01-04 |
| 1811291933 | Kasey Lillie | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2011-01-04 |
| 1508160110 | Carleen Duquette | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2010-12-23 |
| 1063716629 | Angela Salmon | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2010-12-22 |
| 1144522236 | Sarah Wager | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2010-11-23 |
| 1609177450 | Kaitlyn Shook | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2010-11-10 |
| Find all providers in the same location | ||||
| 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 |
| 1528381597 | Khadeejah Hassan | Counselor | 20 Edgewood Rd, Pittsfield, MA 01201-3306 | 2010-03-05 |
| 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 |
| 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.