Organization Active NPI

Holistic Care Mental Health Association LLC

  • Clinical Social Worker
  • West Springfield, MA
National Provider Identifier
1083301675
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLISTIC CARE MENTAL HEALTH ASSOCIATION LLC
Practice address
425 Union St Ste 42
West Springfield, MA 01089-3485
Phone
(413) 930-4562
Fax
(413) 707-9931
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Pamela Jumba, MSWNPI 1295001865
Title
Owner/Provider
Phone
(413) 306-8605

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

425 Union St Ste 42
West Springfield, MA 01089-3485

Mailing address

221B Wollaston St
Springfield, MA 01119-1673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603000826 MA Part B Supplier - Clinic/Group Practice 0941742282 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MA; West Springfield, MA

National Provider Directory

National Provider Directory

Locations

425 Union St
Ste 42
West Springfield, MA 01089
Phone (413) 930-4562

Practitioners & affiliated clinicians

Practitioners 3

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": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1083301675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221B WOLLASTON ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNION ST STE 42",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893485",
            "telephone_number": "413-930-4562",
            "fax_number": "413-707-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CARE MENTAL HEALTH ASSOCIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "JUMBA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "413-306-8605",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.