Active NPI
Emdr Therapy Solutions and Wellness LLC
- Clinical Social Worker
- Plymouth, MA
National Provider Identifier
1013783661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EMDR THERAPY SOLUTIONS AND WELLNESS LLC
- Practice address
- 2277 State Rd Unit D
Plymouth, MA 02360-7111 - Phone
- (508) 266-5971
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natasha Bourgoin, LICSW
- Title
- Ceo
- Phone
- (617) 953-7845
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2277 State Rd Unit D
Plymouth, MA 02360-7111
Mailing address
5 Drum Dr
Plymouth, MA 02360-2711
Phone (617) 953-7845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2277 State Rd
Unit D
Plymouth, MA 02360
Phone (508) 266-5971
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Plymouth, MA
- NPI 1205421500
-
- Clinical Social Worker
- Worcester, MA
- NPI 1922691914
-
- Clinical Social Worker
- Plymouth, MA
- NPI 1346847340
-
- Mental Health Counselor
- Plymouth, MA
- NPI 1376249607
-
- Professional Counselor
- Plymouth, MA
- NPI 1255122560
-
- Mental Health Counselor
- Plymouth, MA
- NPI 1730974056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1013783661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DRUM DR",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602711",
"telephone_number": "617-953-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2277 STATE RD UNIT D",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023607111",
"telephone_number": "508-266-5971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMDR THERAPY SOLUTIONS AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "BOURGOIN",
"authorized_official_first_name": "NATASHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-953-7845",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.