KELLY JEAN DEMING


Address: 2155 Main St, Springfield, MA 01104-3301
Phone: 4137360395

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

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

Office Location

Street Address 2155 MAIN ST
City SPRINGFIELD
State MA
Zip Code 01104-3301

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SPRINGFIELD
Zip Code 01104

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Dataset Information

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.

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