Organization Active NPI

Balsam Lotus Healing and Wellness

  • Clinical Social Worker
  • Cranston, RI
National Provider Identifier
1104537646
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALSAM LOTUS HEALING AND WELLNESS
Practice address
63 Sockanosset Cross Rd Ste 63C
Cranston, RI 02920-5557
Phone
(401) 541-5989
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Alyssa Goulet-Almeida, LICSW
Title
Owner, Founder, Therapist
Phone
(401) 541-5989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

63 Sockanosset Cross Rd Ste 63C
Cranston, RI 02920-5557

Mailing address

63 Sockanosset Cross Rd Ste 63C
Cranston, RI 02920-5557

Other identifiers 1

IdentifierTypeStateIssuer
854003564MedicaidRI

National Provider Directory

National Provider Directory

Locations

63 Sockanosset Cross Rd
Ste 63C
Cranston, RI 02920
Phone (401) 541-5989

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1104537646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SOCKANOSSET CROSS RD STE 63C",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SOCKANOSSET CROSS RD STE 63C",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205557",
            "telephone_number": "401-541-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALSAM LOTUS HEALING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "GOULET-ALMEIDA",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER, FOUNDER, THERAPIST",
        "authorized_official_telephone_number": "401-541-5989",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854003564",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.