Organization Active NPI

Holistic Life Counselors PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Natick, MA
National Provider Identifier
1205607611
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOLISTIC LIFE COUNSELORS PLLC
Practice address
2 Summer St Ste 307
Natick, MA 01760-4529
Phone
(570) 498-3530
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Dr. Beth Donovan Blaha, PSYDNPI 1558690941
Title
Psychologist
Phone
(518) 221-6967

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2 Summer St Ste 307
Natick, MA 01760-4529

Mailing address

2 Summer St Ste 307
Natick, MA 01760-4529
Phone (570) 498-3530

National Provider Directory

National Provider Directory

Locations

2 Summer St
Ste 307
Natick, MA 01760
Phone (570) 498-3530

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": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1205607611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST STE 307",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604529",
            "telephone_number": "570-498-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST STE 307",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604529",
            "telephone_number": "570-498-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC LIFE COUNSELORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "BLAHA",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "518-221-6967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.