Provider Demographics
NPI:1881799864
Name:JOCHELSON COUNSELING ASSOCIATES, INC.
Entity type:Organization
Organization Name:JOCHELSON COUNSELING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOCHELSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CS, MSN
Authorized Official - Phone:617-527-1412
Mailing Address - Street 1:53 LANGLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1913
Mailing Address - Country:US
Mailing Address - Phone:617-527-1412
Mailing Address - Fax:617-964-2718
Practice Address - Street 1:53 LANGLEY RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1913
Practice Address - Country:US
Practice Address - Phone:617-527-1412
Practice Address - Fax:617-964-2718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN131827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP10391OtherBC/BS
MA691860OtherTUFTS
MA1013635OtherCIGNA
MA1290676OtherUNITED HEALTH CARE
MAP10391OtherBC/BS
MA691860OtherTUFTS