Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Etting

Individual provider Mental Health Counselor · NPI 1417745233

Jason Etting is a Mental Health Counselor in Wakefield, Rhode Island. Qualified in 2022, 4 years ago. Works from 2 locations.

Years since qualifying
4
In the registry since
2025

Practice location Address checks out

66 Main St
Wakefield, RI 02879-3651
Phone: (401) 684-0567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 194 Waterman St, Providence, RI 02906-4015 — (401) 633-2929

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417745233
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address66 Main St, Wakefield, RI 02879-3651

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Wakefield