Organization Active NPI

Unicorn Counseling Services

  • Clinical Social Worker
  • Brockton, MA
National Provider Identifier
1063254720
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UNICORN COUNSELING SERVICES
Practice address
182 Woodard Ave
Brockton, MA 02301-6314
Phone
(508) 203-1774
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Cunningham, LICSWNPI 1699328203
Title
Owner
Phone
(508) 203-1774

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

182 Woodard Ave
Brockton, MA 02301-6314

Mailing address

182 Woodard Ave
Brockton, MA 02301-6314
Phone (508) 203-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920002938 MA Part B Supplier - Clinic/Group Practice 2860933538 Receives reassigned benefits from 1 practitioner
Practice locations: Brockton, MA; Stoughton, MA

National Provider Directory

National Provider Directory

Locations

1214 Park St
Ste 201B
Stoughton, MA 02072
Phone (508) 203-1774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1063254720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 WOODARD AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016314",
            "telephone_number": "508-203-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 WOODARD AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016314",
            "telephone_number": "508-203-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICORN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-203-1774",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.