Active NPI
Balsam Lotus Healing and Wellness
- Clinical Social Worker
- Cranston, RI
National Provider Identifier
1104537646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 854003564 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- North Kingstown, RI
- NPI 1821440736
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.