NPIMap

Organization Active NPI

Play, Share, Heal Counseling Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Woburn, MA
National Provider Identifier
1083253868
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PLAY, SHARE, HEAL COUNSELING SERVICES LLC
Practice address
95B Lowell St
Woburn, MA 01801-2245
Phone
(617) 299-1043
NPI assigned
Dec 27, 2019
Last updated
Dec 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Jessica Smith, MSWNPI 1215175153
Title
Owner
Phone
(617) 299-1043

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

95B Lowell St
Woburn, MA 01801-2245

Mailing address

95B Lowell St
Woburn, MA 01801-2245

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL playshareheal.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1083253868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95B LOWELL ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95B LOWELL ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012245",
            "telephone_number": "617-299-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY, SHARE, HEAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-299-1043",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "playshareheal.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "woburn",
            "address_1": "95B Lowell St",
            "city": "Woburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018012245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.