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JASON ETTING
NPI 1417745233
Counselor - Mental Health in Wakefield, RI

Active since April 30, 2025PECOS Enrolled
66 MAIN ST, WAKEFIELD, RI 02879(401) 684-0567 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Etting NPPES

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

JASON ETTING (NPI 1417745233) is an individual mental health provider in Wakefield, Rhode Island and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417745233
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJASON ETTING
Location Address66 MAIN STWakefield, RI 02879-3651
Mailing Address66 Main StWakefield, RI 02879-3651 · (401) 684-0567
Phone(401) 684-0567
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 30, 2025
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1417745233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
66 MAIN ST, Wakefield, RI 02879
Open in Google Maps ↗

Secondary Practice Location 1

Location 1194 Waterman StProvidence, RI 02906-4015 · Phone (401) 633-2929 · Fax (888) 602-6957

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Etting is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709354665
PECOS Enrollment IDI20260508001550
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 6

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

GRETCHEN LILY MONTIE
Occupational Therapist (Pediatrics)
66 MAIN ST
WAKEFIELD, RI 02879
Washington County (401) 360-6362
CAROLINE W BARRI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
66 MAIN ST
WAKEFIELD, RI 02879
Washington County (401) 376-2501
THE SPEECH SPOT, LLC
Clinic/Center (Rehabilitation)
66 MAIN ST
WAKEFIELD, RI 02879
Washington County (401) 360-6362
RI WALK & TALK THERAPY
Counselor (Mental Health)
66 MAIN ST
WAKEFIELD, RI 02879
Washington County (401) 684-0567
JOHN L BOSSIAN
Family Medicine
66 MAIN ST
WAKEFIELD, RI 02879
Washington County (401) 789-1600
LINDSAY C ANDRUCHUVE M.S., CCC-SLP
Speech-Language Pathologist
66 MAIN ST
WAKEFIELD, RI 02879
Washington County (401) 360-6362

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 Jason Etting's NPI number?

The NPI number for Jason Etting is 1417745233. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Jason Etting located?

Jason Etting practices at 66 Main St, Wakefield, RI 02879. The listed phone number is (401) 684-0567.

What is Jason Etting's specialty?

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

Is Jason Etting enrolled in Medicare?

Yes. Jason Etting is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Etting was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.