Provider Demographics
NPI:1427672815
Name:PURINGTON, JANA LYNN (MA)
Entity type:Individual
Prefix:MS
First Name:JANA
Middle Name:LYNN
Last Name:PURINGTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:COLRAIN
Mailing Address - State:MA
Mailing Address - Zip Code:01340-9722
Mailing Address - Country:US
Mailing Address - Phone:413-768-8448
Mailing Address - Fax:
Practice Address - Street 1:155 MAPLE ST STE 107
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1828
Practice Address - Country:US
Practice Address - Phone:413-285-8722
Practice Address - Fax:413-285-8642
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA743224389Medicaid