JENNIFER MELLO LICSW LLC
NPI 1710441639
Counselor in Plymouth, MA

Active since January 24, 2019
147 COURT ST, PLYMOUTH, MA 02360(508) 591-0569 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor

About JENNIFER MELLO LICSW LLC

This page provides the complete NPI Profile along with additional information for Jennifer Mello Licsw Llc, a provider established in Plymouth, Massachusetts operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1710441639 assigned on January 2019. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dawn Lawler (Off Mgr)

NPI
1710441639 Verify this NPI
Provider Name
JENNIFER MELLO LICSW LLC
Entity Type
Organization
Location Address
147 COURT ST PLYMOUTH, MA 02360
Location Phone
(508) 591-0569
Mailing Address
16 CHILTON ST APT 3 PLYMOUTH, MA 02360
Mailing Phone
(508) 591-0569
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2019
Last Update Date
01-24-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAWN LAWLER

Authorized Official Title
OFF MGR
Authorized Official Phone
(800) 735-8951

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
147 COURT ST
PLYMOUTH, MA 02360
Dietitian, Registered
147 COURT ST
PLYMOUTH, MA 02360
Counselor
147 COURT ST
PLYMOUTH, MA 02360
Nurse Practitioner (Psychiatric/Mental Health)
147 COURT ST
PLYMOUTH, MA 02360
Nurse Practitioner (Family)
147 COURT ST
PLYMOUTH, MA 02360
Nurse Practitioner (Psychiatric/Mental Health)
147 COURT ST
PLYMOUTH, MA 02360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710441639, enumerated as an "organization" on January 24, 2019.

The provider is located at 147 COURT ST PLYMOUTH, MA 02360 and the phone number is (508) 591-0569.

Counselor with taxonomy code 101Y00000X.