Mr. Jason C Ravizza, MED, LMHC
Counselor, Mental Health in Agawam, Massachusetts
1205073749- Practice location
- 200 Silver St., (Agawam Crossing) Suite 106, Agawam, MA 01001
- Phone
- 413-789-9198
- Fax
- 413-789-6322
- Last updated
- January 20, 2009
Jason Christian Ravizza is a Counselor, Mental Health based in Agawam, MA. Jason Christian Ravizza practices in Agawam, MA and has the professional credentials of MED, LMHC. The NPI Number for Jason Christian Ravizza is 1205073749 and holds a License No. 4027 (MA). The current practice location address for Jason Christian Ravizza is 200 Silver St., (Agawam Crossing) Suite 106, Agawam, MA 01001 and can be reached out via phone at 413-789-9198 and via fax at 413-789-6322.
Provider Profile Details
- NPI Number
- 1205073749
- Provider Name
- Jason Christian Ravizza
- Credential
- MED, LMHC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Silver St., (Agawam Crossing) Suite 106, Agawam, MA 01001
- Phone Number
- 413-789-9198
- Fax Number
- 413-789-6322
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 20, 2009
- Last Update Date
- January 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Silver St.
(Agawam Crossing) Suite 106
Agawam, MA 01001 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001
- Phone Number
- 413-789-9198
- Fax Number
- 413-789-6322
Provider Business Mailing Address Details
- Address
- 200 Silver St,
Unit 106
Agawam, MA 01001 - City
- Agawam
- State
- MA
- Zip
- 01001
- Phone Number
- 413-789-9198
- Fax Number
- 413-789-6322
License Information
- License Number (1)
- 4027
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- License Number (2)
- 365449
- License State (2)
- MA
- Taxonomy (2)
- Counselor, School · 101YS0200X
- License Number (3)
- 365449
- License State (3)
- MA
- Taxonomy (3)
- Social Worker, School · 1041S0200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Agawam, MA
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Frequently Asked Questions
What is the NPI number of Mr. Jason C Ravizza, MED, LMHC?
The NPI number of Mr. Jason C Ravizza, MED, LMHC is 1205073749. It was assigned on January 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Mr. Jason C Ravizza, MED, LMHC?
Mr. Jason C Ravizza, MED, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 4027.
Where does Mr. Jason C Ravizza, MED, LMHC practice?
The practice location is 200 Silver St., (Agawam Crossing) Suite 106, Agawam, MA 01001. The office can be reached at 413-789-9198 (phone) or 413-789-6322 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205073749 directly on the NPPES registry website.