Organization Active NPI

Integrative Therapies, LLC

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1093048787
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1027200 Issued in MA
Legal business name
INTEGRATIVE THERAPIES, LLC
Practice address
97 Holmes St
Quincy, MA 02171-2433
Phone
(617) 770-1170
Fax
(617) 770-1174
NPI assigned
Sep 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Ms. Susan Sherrad Barton, LICSW
Title
Owner
Phone
(617) 770-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1027200 MA Primary

Addresses

Primary practice location

97 Holmes St
Quincy, MA 02171-2433

Mailing address

97 Holmes St
Quincy, MA 02171-2433
Phone (617) 770-1170

Other identifiers 1

IdentifierTypeStateIssuer
1854542MedicaidMA

National Provider Directory

National Provider Directory

Locations

97 Holmes St
Quincy, MA 02171
Phone (617) 770-1170

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": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1093048787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 HOLMES ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712433",
            "telephone_number": "617-770-1170",
            "fax_number": "617-770-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HOLMES ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712433",
            "telephone_number": "617-770-1170",
            "fax_number": "617-770-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SHERRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-770-1170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1027200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854542",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.