Organization Active NPI

Soulistic Solutions Services Inc

  • Mental Health Counselor
  • Wareham, MA
National Provider Identifier
1134817927
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOULISTIC SOLUTIONS SERVICES INC
Practice address
40 Church Ave Ste 203
Wareham, MA 02571-2093
Phone
(508) 927-5025
Fax
(774) 678-0696
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mrs. Melissa Nascimento, LICSWNPI 1578833653
Title
Social Worker/ Owner
Phone
(508) 927-5025

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

40 Church Ave Ste 203
Wareham, MA 02571-2093

Mailing address

PO Box 489
Wareham, MA 02571-0489
Phone (508) 927-5025

National Provider Directory

National Provider Directory

Locations

40 Church Ave
Ste 203
Wareham, MA 02571
Phone (508) 202-0712

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": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1134817927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025710489",
            "telephone_number": "508-927-5025",
            "fax_number": "774-678-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHURCH AVE STE 203",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712093",
            "telephone_number": "508-927-5025",
            "fax_number": "774-678-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULISTIC SOLUTIONS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "NASCIMENTO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SOCIAL WORKER/ OWNER",
        "authorized_official_telephone_number": "508-927-5025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.