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MR. JAKE FORREST VISCO BA
NPI 1972990984
Counselor in Nantucket, MA

Active since April 17, 2015
20 VESPER LN, NANTUCKET, MA 02554(508) 228-2689(508) 228-3613 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jake Forrest Visco Ba NPPES

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

MR. JAKE FORREST VISCO BA (NPI 1972990984) is an individual counselor in Nantucket, Massachusetts and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1972990984
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JAKE FORREST VISCOCredential: BA
Location Address20 VESPER LNNantucket, MA 02554-4394
Mailing Address20 Vesper LnNantucket, MA 02554-4394 · (508) 228-2689 · Fax (508) 228-3613
Phone(508) 228-2689
Fax(508) 228-3613
Sole ProprietorNo
Enumeration DateApril 17, 2015
✔ NPI 1972990984 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.
20 VESPER LN, Nantucket, MA 02554
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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.

MARY GRAVES
Counselor
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
ALLISON GAYO
Counselor
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
JAMES WULFFLEFF
Peer Specialist
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
SHANTOI USHER
Behavior Technician
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
LEAH KOHL
Community Health Worker
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
MICHAEL GETTER
Counselor (Addiction (Substance Use Disorder))
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
SEANNE AILEEN WEBSTER-DAVIS MA
Counselor
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
MS. SUZANNE MYNTTINEN
Counselor (Mental Health)
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689

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 Jake Visco's NPI number?

The NPI number for Jake Visco is 1972990984. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Jake Visco located?

Jake Visco practices at 20 Vesper Ln, Nantucket, MA 02554. The listed phone number is (508) 228-2689.

What is Jake Visco'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 Jake Visco was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.