Organization Active NPI

New Directions Counseling Service LLC

  • Community/Behavioral Health Agency
  • Boston, MA
National Provider Identifier
1063936078
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1029742 Issued in MA
Legal business name
NEW DIRECTIONS COUNSELING SERVICE LLC
Practice address
24 Union Wharf
Boston, MA 02109-1202
Phone
(617) 921-4322
Fax
(781) 438-2398
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Judith B Fox, LICSWNPI 1386783249
Title
Outpatient Mental Health Therapist
Phone
(617) 921-4322

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
Community/Behavioral Health Agency 251S00000X 1029742 MA Primary

Addresses

Primary practice location

24 Union Wharf
Boston, MA 02109-1202

Mailing address

24 Union Wharf
Boston, MA 02109-1202
Phone (617) 921-4322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170929001036 MA Part B Supplier - Clinic/Group Practice 9335414481 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

272 Main St
Ste 2
Stoneham, MA 02180
Phone (617) 921-4322

Practitioners & affiliated clinicians

Practitioners 1

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": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063936078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 UNION WHARF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091202",
            "telephone_number": "617-921-4322",
            "fax_number": "781-438-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 UNION WHARF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091202",
            "telephone_number": "617-921-4322",
            "fax_number": "781-438-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OUTPATIENT MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "617-921-4322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "1029742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.