Organization Active NPI

Sea Glass Family Wellness LLC

  • Mental Health Counselor
  • Somerset, MA
National Provider Identifier
1215626627
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SEA GLASS FAMILY WELLNESS LLC
Practice address
2 Buxton Ave Apt 1
Somerset, MA 02726-4441
Phone
(508) 840-8942
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Mrs. Rebecca Lewin, LMHC, PMHC, CLC, CYTNPI 1215473913
Title
Owner, Counselor, Facilitator
Phone
(508) 840-8942

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

2 Buxton Ave Apt 1
Somerset, MA 02726-4441

Mailing address

2 Buxton Ave Apt 1
Somerset, MA 02726-4441
Phone (508) 840-8942

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1215626627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BUXTON AVE APT 1",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027264441",
            "telephone_number": "508-840-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BUXTON AVE APT 1",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027264441",
            "telephone_number": "508-840-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GLASS FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "LEWIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER, COUNSELOR, FACILITATOR",
        "authorized_official_telephone_number": "508-840-8942",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, PMHC, CLC, CYT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.