Healthcare Provider Details

I. General information

NPI: 1659255198
Provider Name (Legal Business Name): JANAINE R SANTOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 WASHINGTON ST
NORWELL MA
02061-2010
US

IV. Provider business mailing address

340 PLEASANT ST # A
S WEYMOUTH MA
02190-2675
US

V. Phone/Fax

Practice location:
  • Phone: 781-871-6550
  • Fax:
Mailing address:
  • Phone: 617-763-8740
  • Fax: 617-763-8740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: