Supportive Minds, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUPPORTIVE MINDS, PLLC

Practice address

206 Holland St
Somerville, MA 02144-2432

Phone

(617) 858-5996

NPI assigned

Apr 8, 2025

Organization subpart

No

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

Authorized official

Name

Katherine Clemens, LICSWNPI 1053803189

Title

Co-Owner

Phone

(617) 858-5996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine E Clemens

  • Clinical Social Worker
  • Somerville, MA
  • NPI 1053803189
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1114711728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442432",
            "telephone_number": "617-858-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE MINDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "617-858-5996",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Sullo
• Penelope Summerall
• John Summersby
• Meera Sunder, MD
• Ksenia Sundukova, DMD
• Darcey L Surette, LMFT
• Stephanie Surma, PHARMD
• Rebecca Suschitzky, LCSW
• Andrea Svartstrom
• Angela M Swain, LCSW

• Mental Health Counselor in Somerville, MA
• Providers in Somerville, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.