Active NPIIndividual provider

Jake Green, MA INTERN

Counselor in Wakefield, Massachusetts

NPI Number1851015606
Practice location
607 North Ave Bldg 15, Wakefield, MA 01880-1322
Fax
781-395-0198
Last updated
September 26, 2022

Jake Green is a Counselor based in Wakefield, MA. Jake Green practices in Wakefield, MA and has the professional credentials of MA INTERN. The NPI Number for Jake Green is 1851015606. The current practice location address for Jake Green is 607 North Ave Bldg 15, Wakefield, MA 01880-1322 and can be reached out via phone at 781-395-0457 and via fax at 781-395-0198.

Provider Profile Details

NPI Number
1851015606
Provider Name
Jake Green
Credential
MA INTERN
Provider Entity Type
Individual
Gender
Male
Address
607 North Ave Bldg 15, Wakefield, MA 01880-1322
Phone Number
781-395-0457
Fax Number
781-395-0198
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2022
Last Update Date
September 26, 2022
Certification Date
September 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
607 North Ave Bldg 15
Wakefield, MA 01880-1322
Zip
01880-1322
Phone Number
781-395-0457
Fax Number
781-395-0198
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
150 Franklin Ave Apt 3
Chelsea, MA 02150-2020
City
Chelsea
State
MA
Zip
02150-2020
Phone Number
413-531-6036

License Information

Taxonomy
Counselor · 101Y00000X · 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 Jake Green, MA INTERN?

The NPI number of Jake Green, MA INTERN is 1851015606. It was assigned on September 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Jake Green, MA INTERN?

Jake Green, MA INTERN is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Jake Green, MA INTERN practice?

The practice location is 607 North Ave Bldg 15, Wakefield, MA 01880-1322. The office can be reached at 781-395-0457 (phone) or 781-395-0198 (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 1851015606 directly on the NPPES registry website.

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