NPIMap

Organization Active NPI

Fusion Behavioral Health & Fitness LLC

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1164955837
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9461 Issued in MA
Legal business name
FUSION BEHAVIORAL HEALTH & FITNESS LLC
Practice address
100 Armstrong Rd Ste 101a
Plymouth, MA 02360-7224
Phone
(774) 766-8335
Fax
(508) 475-5468
NPI assigned
Apr 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Tiffany B Townsend, MA, LMHCNPI 1518253673
Title
Owner
Phone
(774) 766-8335

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 9461 MA Primary

Addresses

Primary practice location

100 Armstrong Rd Ste 101a
Plymouth, MA 02360-7224

Mailing address

100 Armstrong Rd Ste 101a
Plymouth, MA 02360-7224
Phone (774) 766-8335

Other practice location 1

31 Home Depot Dr Ste 276
Plymouth, MA 02360-2669
Phone (774) 766-8335

National Provider Directory

National Provider Directory

Locations

100 Armstrong Rd
Ste 101A
Plymouth, MA 02360
Phone (774) 766-8335

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": "1491696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1164955837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARMSTRONG RD STE 101A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607224",
            "telephone_number": "774-766-8335",
            "fax_number": "508-475-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARMSTRONG RD STE 101A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607224",
            "telephone_number": "774-766-8335",
            "fax_number": "508-475-5468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Home Depot Dr Ste 276",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602669",
            "country_code": "US",
            "telephone_number": "774-766-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUSION BEHAVIORAL HEALTH & FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-09",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-766-8335",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.