Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972990984 Individual Practitioner Male Practitioner

Jake Forrest Visco , BA

Counselor • Nantucket, MA

Professional Overview & Biography Verified Profile Summary

Jake Visco, BA is a registered healthcare professional specializing in Counselor in Nantucket, MA. Practice services are available at 20 VESPER LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20 Vesper Ln

Nantucket, MA 025544394

Telephone 5082282689
Fax 5082283613
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Nantucket, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Nantucket, MA (9162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Moirar Leveille , MASTERS INTERN MHC

Counselor - Mental Health

NPI 1003184250

MASTERSINTERNMHC

Mary Graves

Counselor

NPI 1013471192
Mayo Funderburg , LADCA

Counselor - Addiction (Substance Use Disorder)

NPI 1053612192
Allison Gayo

Counselor

NPI 1053893131
James Wulffleff

Peer Specialist

NPI 1083324198
Maria Mclaughlin , MS

Counselor - Mental Health

NPI 1093016123

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2015

Registered at 20 VESPER LN, NANTUCKET, MA 025544394 (Tel: 5082282689)

📍
Updated Business Mailing Address April 17, 2015

Registered at 20 VESPER LN, NANTUCKET, MA 025544394 (Tel: 5082282689)

👤
Provider Name / Credentials Updated April 17, 2015

Recorded as JAKE VISCO, BA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Counselor

🟢
Initial NPI Registration & Enumeration April 17, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972990984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2015
Last Update: April 17, 2015
Sole Proprietor: No

Mailing Address

20 Vesper Ln

Nantucket, MA 025544394

Phone: 5082282689

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.