JARED PROULX
NPI 1417128885
Counselor - Mental Health in Springfield, MA
About Jared Proulx NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED PROULX (NPI 1417128885) is an individual mental health provider in Springfield, Massachusetts, licensed in Massachusetts (6497) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jared Proulx is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jared Proulx reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taunton, MA 02780
- Reassigned Medicare billing, Massachusetts enrollment
- 689 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 Jared Proulx's NPI number?
The NPI number for Jared Proulx is 1417128885. It was assigned to this individual provider in the NPPES registry on March 13, 2008.
Where is Jared Proulx located?
Jared Proulx practices at 130 Maple St Ste 325, Springfield, MA 01103. The listed phone number is (413) 737-9544.
What is Jared Proulx's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jared Proulx enrolled in Medicare?
Yes. Jared Proulx is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jared Proulx's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Proulx reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, 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 Jared Proulx'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 Jared Proulx was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Jared Proulx · NPI 1417128885
Mental Health provider in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since March 13, 2008.
## Identity
- **NPI:** 1417128885 (Entity type: Individual)
- **Enumerated:** March 13, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6497 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 MAPLE ST STE 325, Springfield, MA 01103-2215
- **Phone:** (413) 737-9544
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northeast Health Services, LLC (NPI 1225067481, Taunton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1417128885) · Data from the CMS NPPES public registry.