JILLIAN R GAGNON
NPI 1164074134
Counselor - Mental Health in Jamaica Plain, MA

Active since July 10, 2019PECOS Enrolled
1125 CENTRE ST, JAMAICA PLAIN, MA 02130(617) 524-3116 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jillian R Gagnon NPPES

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

JILLIAN R GAGNON (NPI 1164074134) is an individual mental health provider in Jamaica Plain, Massachusetts and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164074134
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJILLIAN R GAGNON
Location Address1125 CENTRE STJamaica Plain, MA 02130-3445
Mailing Address7 Newcastle RdBrighton, MA 02135-1816 · (508) 367-5701
Sole ProprietorNo
Enumeration DateJuly 10, 2019
NPI 1164074134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1125 CENTRE ST, Jamaica Plain, MA 02130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jillian R Gagnon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Behavior Technician
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Counselor (Mental Health)
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Counselor
1125 CENTRE ST
BOSTON, MA 02130
Counselor (Mental Health)
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Social Worker
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Community Based Residential Treatment Facility, Mental Illness
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Counselor (Mental Health)
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Social Worker
1125 CENTRE ST
BOSTON, MA 02130

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 Jillian Gagnon's NPI number?

The NPI number for Jillian Gagnon is 1164074134. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Jillian Gagnon located?

Jillian Gagnon practices at 1125 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 524-3116.

What is Jillian Gagnon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jillian Gagnon enrolled in Medicare?

Yes. Jillian Gagnon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jillian Gagnon was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.