THAIS JARDIM (LCSW) – Mental Health Counselor, NPI 1215700455

THAIS JARDIM (LCSW) is a healthcare provider. based in Whitman, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCSW. They hold a License No. 229264 (MA). The NPI Number for THAIS JARDIM (LCSW) is 1215700455

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
THAIS JARDIM (LCSW)
NPI
1215700455
Phone
(781) 534-2781
Address
29 PARK AVE
Enumeration Date
31 October 2023
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7814476425
Graduation Year
2023 (3 years ago)
PAC ID
4082102629
Group Practice PAC ID
9133161953
Professional Enrollment ID
I20251024000687
Address ID
MA023821820WH288XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for THAIS JARDIM (LCSW)

  • 29 PARK AVE

    WHITMAN, MA 023821418

    Phone: (781) 534-2781

    Type: Mailing

  • 288 BEDFORD ST

    WHITMAN, MA 023821820

    Phone: (781) 447-6425

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251024000687IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02382)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133161953View full group profile
NameSpecialtyState
Nurse PractitionerMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Nurse PractitionerMA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for THAIS JARDIM (LCSW)?
THAIS JARDIM (LCSW) — NPI 1215700455 — is the standard way to identify this listing.
Can I rely on THAIS JARDIM (LCSW) being an active provider?
As of the registry snapshot, THAIS JARDIM (LCSW) is marked active.
What healthcare role does THAIS JARDIM (LCSW) hold?
Scheduling teams often label THAIS JARDIM (LCSW) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect THAIS JARDIM (LCSW) on a map?
Expect Whitman, Massachusetts as a primary anchor for THAIS JARDIM (LCSW) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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