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JERRY BUISSERETH
NPI 1386181121
Counselor - Mental Health in Randolph, MA

Active since January 31, 2017
14 PACELLA PARK DR, RANDOLPH, MA 02368(781) 440-0400 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Buissereth NPPES

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

JERRY BUISSERETH (NPI 1386181121) is an individual mental health provider in Randolph, Massachusetts and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1386181121
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERRY BUISSERETH
Location Address14 PACELLA PARK DRRandolph, MA 02368-1756
Mailing Address14 Pacella Park DrRandolph, MA 02368-1756 · (781) 440-0400
Phone(781) 440-0400
Sole ProprietorNo
Enumeration DateJanuary 31, 2017
✔ NPI 1386181121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
14 PACELLA PARK DR, Randolph, MA 02368
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Other Identifiers 1

Medicaid110026265EMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

ALEXANDER GASDIA
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
COURTNEY DESTREMPS
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
VICTORIA SYMKUS
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
GABRIELLE N BARTHOLOMEW
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
REHANA RAHMAN
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
SAMANTHA JEAN
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
BRIAN DANIELS
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
CHRISTINE DOWNS
Counselor (Mental Health)
14 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400

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 Jerry Buissereth's NPI number?

The NPI number for Jerry Buissereth is 1386181121. It was assigned to this individual provider in the NPPES registry on January 31, 2017.

Where is Jerry Buissereth located?

Jerry Buissereth practices at 14 Pacella Park Dr, Randolph, MA 02368. The listed phone number is (781) 440-0400.

What is Jerry Buissereth's specialty?

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

What insurance does Jerry Buissereth accept?

Health plans from Anthem Blue Cross and Blue Shield list Jerry Buissereth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Buissereth was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.