Organization Active NPI

Resiliency and Optimism Changes Lives (R.O.C.) Therapeutic Coaching SE

  • Clinical Social Worker
  • Hyde Park, MA
National Provider Identifier
1083208987
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESILIENCY AND OPTIMISM CHANGES LIVES (R.O.C.) THERAPEUTIC COACHING SE
Practice address
1 Westinghouse PLZ Ste A101
Hyde Park, MA 02136-2183
Phone
(617) 539-6448
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Ms. Lakisha R Austin, LICSW, MBA, MSWNPI 1851692370
Title
Ceo/Founder
Phone
(617) 755-6448

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1 Westinghouse PLZ Ste A101
Hyde Park, MA 02136-2183

Mailing address

17 Richmere Rd
Mattapan, MA 02126-3201
Phone (617) 755-6448

National Provider Directory

National Provider Directory

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": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1083208987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RICHMERE RD",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263201",
            "telephone_number": "617-755-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTINGHOUSE PLZ STE A101",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362183",
            "telephone_number": "617-539-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY AND OPTIMISM CHANGES LIVES (R.O.C.) THERAPEUTIC COACHING SE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "617-755-6448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW, MBA, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.