JEREMY TRAVIS PROVOST
NPI 1659635183
Counselor in Plymouth, MA

Q: What is Jeremy Provost's NPI number?

The NPI number for Jeremy Provost is 1659635183. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Q: What is Jeremy Provost's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Provost was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 29, 2012

900 SHIP POND ROAD, PLYMOUTH, MA 02360(617) 686-7901 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeremy Travis Provost NPPES

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

JEREMY TRAVIS PROVOST (NPI 1659635183) is an individual counselor in Plymouth, Massachusetts and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1659635183

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJEREMY TRAVIS PROVOST

Location Address900 SHIP POND ROADPlymouth, MA 02360

Mailing Address900 Ship Pond RoadPlymouth, MA 02360

Phone(617) 686-7901

Sole ProprietorYes

Enumeration DateJune 29, 2012

✔ NPI 1659635183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

900 SHIP POND ROAD, Plymouth, MA 02360

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Other Providers at the Same Location NPPES 2

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

CARLOS ANTUNES

Counselor

900 SHIP POND ROAD
PLYMOUTH, MA 02360

Plymouth County (508) 224-8041

ELENA MARIE WIRZBURGER M.A.T.

Social Worker (Clinical)

900 SHIP POND ROAD
PLYMOUTH, MA 02360

Plymouth County (508) 224-8041

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 Jeremy Provost's NPI number?

The NPI number for Jeremy Provost is 1659635183. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Jeremy Provost located?

Jeremy Provost practices at 900 Ship Pond Road, Plymouth, MA 02360. The listed phone number is (617) 686-7901.

What is Jeremy Provost's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Provost was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.