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JASON ANTONETTI NPI 1982245668


NPI Information

NPI: 1982245668
Provider Name: JASON ANTONETTI
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
80 COMMERCIAL ST
HOLYOKE, MA
ZIP 01040
Phone: (413) 846-0445
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Jason Antonetti is a counselor in Holyoke, MA. The provider is 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. Jason Antonetti NPI is 1982245668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 COMMERCIAL ST
HOLYOKE, MA
ZIP 01040-704
Phone: (413) 846-0445

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11134107113MEDICAIDMASSACHUSETTS
2997303OTHERMASSACHUSETTSNETWORK HEALTH
3Y10086OTHERMASSACHUSETTSMEDICARE
41134107113OTHERMASSACHUSETTSMBHP
51134107113OTHERMASSACHUSETTSFALLON
61134107113OTHERMASSACHUSETTSNHP
7042622756OTHERMASSACHUSETTSCCA
81134107113OTHERMASSACHUSETTSBEACON
912529OTHERMASSACHUSETTSHNE
1071756OTHERMASSACHUSETTSTUFTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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