JEAN ALTIS
NPI 1295014272
Counselor in Springfield, MA
About Jean Altis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN ALTIS (NPI 1295014272) is an individual counselor in Springfield, Massachusetts and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jean Altis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jean Altis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roxbury, MA 02119
- Reassigned Medicare billing, Massachusetts enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Jean Altis's NPI number?
The NPI number for Jean Altis is 1295014272. It was assigned to this individual provider in the NPPES registry on August 9, 2011.
Where is Jean Altis located?
Jean Altis practices at 120 Maple St, Springfield, MA 01103. The listed phone number is (413) 846-0445.
What is Jean Altis's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Jean Altis enrolled in Medicare?
Yes. Jean Altis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jean Altis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jean Altis reassigns Medicare benefits to Community Caring Clinic LLC (Roxbury, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean Altis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jean Altis was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jean Altis · NPI 1295014272
Counselor provider in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since August 9, 2011.
## Identity
- **NPI:** 1295014272 (Entity type: Individual)
- **Enumerated:** August 9, 2011
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 120 MAPLE ST, Springfield, MA 01103-2203
- **Phone:** (413) 846-0445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Caring Clinic LLC (NPI 1184112377, Roxbury, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 9, 2011
- **Other identifiers:** Medicare PIN Y10086 (MA); Medicaid 1303295 (MA); Medicaid 1307576 (MA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1295014272) · Data from the CMS NPPES public registry.