KELLY JEAN DEMING (NPI# 1902437304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902437304 |
| Entity Type | Individual |
| Full Name | KELLY JEAN DEMING |
| Practice Address |
2155 Main St Springfield MA 01104-3301 |
| Practice Telephone | 4137360395 |
| Mailing Telephone | 4137360395 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NETWORK HEALTH | 997303 | 01 |
| MA | CCA | 042622756 | 01 |
| MA | NHP | 1134107113 | 01 |
| MA | BEACON | 1134107113 | 01 |
| MA | FALLON | 1134107113 | 01 |
| MA | HNE | 12529 | 01 |
| MA | MBHP | 1134107113 | 01 |
| MA | MEDICARE | Y10086 | 01 |
| MA | 1134107113 | 05 | |
| MA | TUFTS | 71756 | 01 |
| Street Address |
2155 MAIN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508844283 | Jose A Flecha | Social Worker | 2155 Main St, Springfield, MA 01104 | 2006-01-04 |
| 1184222911 | Dayanara Rosado | Counselor | 2155 Main St, Springfield, MA 01104-3394 | 2020-10-14 |
| 1447858584 | Bianca Paola Gonzalez Perez | Counselor | 2155 Main St, Springfield, MA 01104-3394 | 2020-10-12 |
| 1528672565 | Samantha Melendez | Counselor | 2155 Main St, Springfield, MA 01104-3301 | 2020-09-08 |
| 1043828189 | Lana Katrina Thomas-smith | Counselor | 2155 Main St, Springfield, MA 01104-3301 | 2020-07-15 |
| 1568094423 | Abraham E Torres | Counselor | 2155 Main St, Springfield, MA 01104-3301 | 2020-02-10 |
| 1578195434 | Lucinda Priester | Counselor | 2155 Main St, Springfield, MA 01104-3301 | 2020-02-10 |
| 1396377651 | Yaritza Gomez-rivera | Counselor | 2155 Main St, Springfield, MA 01104-3301 | 2020-02-05 |
| 1134750532 | Victoria L. Ortiz | Counselor | 2155 Main St, Springfield, MA 01104-3301 | 2020-02-04 |
| 1952932345 | Casandra Elizabeth Morehouse | Counselor | 2155 Main St, Springfield, MA 01104-3301 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| 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 |
|---|---|---|---|---|
| 1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
| 1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
| 1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
| 1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
| 1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
| 1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
| 1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
| 1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
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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.