EDVERTIS THADISON III
NPI 1104290493
Counselor in Springfield, MA

Active since November 24, 2015
130 MAPLE ST, SPRINGFIELD, MA 01103(413) 737-9544 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edvertis Thadison Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDVERTIS THADISON III (NPI 1104290493) is an individual counselor in Springfield, Massachusetts and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1104290493
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEDVERTIS THADISON III
Location Address130 MAPLE STSpringfield, MA 01103-2202
Mailing Address130 Maple StSpringfield, MA 01103-2202 · (413) 737-9544
Sole ProprietorNo
Enumeration DateNovember 24, 2015
NPI 1104290493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.

130 MAPLE ST, Springfield, MA 01103

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
130 MAPLE ST
SPRINGFIELD, MA 01103
Counselor (Mental Health)
130 MAPLE ST, SUITE 205
SPRINGFIELD, MA 01103
Counselor
130 MAPLE ST
SPRINGFIELD, MA 01103
Case Manager/Care Coordinator
130 MAPLE ST
SPRINGFIELD, MA 01103
Counselor (Mental Health)
130 MAPLE ST, 325
SPRINGFIELD, MA 01103
Counselor
130 MAPLE ST
SPRINGFIELD, MA 01103
Counselor (Mental Health)
130 MAPLE ST, SUITE 325
SPRINGFIELD, MA 01103
Social Worker (Clinical)
130 MAPLE ST
SPRINGFIELD, MA 01103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edvertis Thadison's NPI number?

The NPI number for Edvertis Thadison is 1104290493. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Edvertis Thadison located?

Edvertis Thadison practices at 130 Maple St, Springfield, MA 01103. The listed phone number is (413) 737-9544.

What is Edvertis Thadison's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Edvertis Thadison was last updated on November 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.