Active NPIIndividual provider

Mr. Jonathan Blaisdell, MA

Counselor, Mental Health in Norwell, Massachusetts

NPI Number1609292192
Practice location
40 Accord Park Dr Ste A110, Norwell, MA 02061-1613
Fax
—
Last updated
September 7, 2022

Jonathan Blaisdell is a Counselor, Mental Health based in Norwell, MA. Jonathan Blaisdell practices in Norwell, MA and has the professional credentials of MA. The NPI Number for Jonathan Blaisdell is 1609292192 and holds a License No. 10709 (MA). The current practice location address for Jonathan Blaisdell is 40 Accord Park Dr Ste A110, Norwell, MA 02061-1613 and can be reached out via phone at 781-435-7941.

Provider Profile Details

NPI Number
1609292192
Provider Name
Jonathan Blaisdell
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
40 Accord Park Dr Ste A110, Norwell, MA 02061-1613
Phone Number
781-435-7941
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 9, 2014
Last Update Date
September 7, 2022
Certification Date
January 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Accord Park Dr Ste A110
Norwell, MA 02061-1613
Zip
02061-1613
Phone Number
781-435-7941
Norwell, MA 02061Get directions →

Provider Business Mailing Address Details

Address
40 Accord Park Dr Ste A110
Norwell, MA 02061-1613
City
Norwell
State
MA
Zip
02061-1613
Phone Number
781-435-7941

License Information

License Number (1)
10709
License State (1)
MA
Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
10709
License State (2)
MA
License Number (3)
10709
License State (3)
MA
Taxonomy (3)
Counselor, Professional · 101YP2500X
License Number (4)
10709
License State (4)
MA
Taxonomy (4)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jonathan Blaisdell, MA?

The NPI number of Mr. Jonathan Blaisdell, MA is 1609292192. It was assigned on March 9, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Jonathan Blaisdell, MA?

Mr. Jonathan Blaisdell, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 10709.

Where does Mr. Jonathan Blaisdell, MA practice?

The practice location is 40 Accord Park Dr Ste A110, Norwell, MA 02061-1613. The office can be reached at 781-435-7941 (phone).

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 1609292192 directly on the NPPES registry website.

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