My Choice Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MY CHOICE THERAPY

Practice address

21 Hollywood Dr
North Grafton, MA 01536-1513

Phone

(774) 437-2317

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gail Bourassa, LMHCNPI 1417099151

Title

Owner

Phone

(774) 437-2317

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gail Bourassa

  • Clinical Social Worker
  • Springfield, MA
  • NPI 1417099151
  Medicare reassignment Care Compare group NPD Authorized official
• Khristy Thompson

  • Mental Health Counselor
  • Framingham, MA
  • NPI 1073268165
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1144089087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOLLYWOOD DR",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361513",
            "telephone_number": "774-437-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOLLYWOOD DR",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361513",
            "telephone_number": "774-437-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHOICE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "BOURASSA",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-437-2317",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mogensen, CCC-SLP
• Marisa Molinaro, BS
• Monica Rao DMD, Inc.
• Shayan Mosaffa, PHARMD
• Tara Murphy
• New England Psychological Assesment Center, Inc
• Lam Nguyen
• Tuyen Nguyen
• Peter Njane
• Hellen Njoroge, LPN

• Clinical Social Worker in North Grafton, MA
• Providers in North Grafton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.