Organization Active NPI

Wellness Journey Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlborough, MA
National Provider Identifier
1083457634
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELLNESS JOURNEY COUNSELING
Practice address
40 Mechanic St Ste 307
Marlborough, MA 01752-4425
Phone
(508) 426-8440
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Shannon Russell, LMHCNPI 1720414238
Title
Psychotherapist
Phone
(978) 875-0710

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

40 Mechanic St Ste 307
Marlborough, MA 01752-4425

Mailing address

40 Mechanic St Ste 307
Marlborough, MA 01752-4425
Phone (508) 426-8440

National Provider Directory

National Provider Directory

Locations

40 Mechanic St
Ste 307
Marlborough, MA 01752
Phone (508) 426-8440

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1083457634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MECHANIC ST STE 307",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524425",
            "telephone_number": "508-426-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MECHANIC ST STE 307",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524425",
            "telephone_number": "508-426-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS JOURNEY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-875-0710",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.