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ADDIS WOLDEGUIORGUIS
NPI 1740763739
Peer Specialist in Jamaica Plain, MA

Active since September 14, 2018
157 GREEN ST, JAMAICA PLAIN, MA 02130(857) 615-6289 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Addis Woldeguiorguis NPPES

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

ADDIS WOLDEGUIORGUIS (NPI 1740763739) is an individual peer specialist in Jamaica Plain, Massachusetts and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1740763739
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameADDIS WOLDEGUIORGUIS
Location Address157 GREEN STJamaica Plain, MA 02130-2667
Mailing Address157 Green StJamaica Plain, MA 02130-2667
Phone(857) 615-6289
Sole ProprietorYes
Enumeration DateSeptember 14, 2018
✔ NPI 1740763739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
157 GREEN ST, Jamaica Plain, MA 02130
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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.

DR. LESLIE ANN OSTROW M.A., PH.D.
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5859
CASSIDY BINGHAM
Art Therapist
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-1120
MARY CLARK LMHC
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 209-9567
DAVID REYES I
Counselor (Addiction (Substance Use Disorder))
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1445
MS. MARY M DOHERTY
Counselor
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5800
MRS. CAROL A. WAYNE LMHC, LMFT
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5828
SHAUNA MARY BOOTHBY
Peer Specialist
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 460-7248
KRISTEN BEAUDOUIN LICSW
Social Worker (Clinical)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1259

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 Addis Woldeguiorguis's NPI number?

The NPI number for Addis Woldeguiorguis is 1740763739. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Addis Woldeguiorguis located?

Addis Woldeguiorguis practices at 157 Green St, Jamaica Plain, MA 02130. The listed phone number is (857) 615-6289.

What is Addis Woldeguiorguis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Addis Woldeguiorguis was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.