Healthcare Provider Details

I. General information

NPI: 1598322562
Provider Name (Legal Business Name): JENNIFER BAYMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 KING ST
WESTFIELD MA
01085-2760
US

IV. Provider business mailing address

33 KING ST
WESTFIELD MA
01085-2760
US

V. Phone/Fax

Practice location:
  • Phone: 413-206-6385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: