Organization Active NPI

The Healing Tree, LLC

  • Social Worker
  • Bolton, MA
National Provider Identifier
1265067482
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
THE HEALING TREE, LLC
Practice address
306 Old Bay Rd
Bolton, MA 01740-1225
Phone
(978) 942-5454
Fax
(978) 616-7986
NPI assigned
Mar 9, 2020
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Mary ClouterNPI 1023553005
Title
Owner, Licsw
Phone
(978) 942-5454

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

306 Old Bay Rd
Bolton, MA 01740-1225

Mailing address

306 Old Bay Rd
Bolton, MA 01740-1225
Phone (978) 942-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210602001073 MA Part B Supplier - Clinic/Group Practice 0648679225 Receives reassigned benefits from 1 practitioner
Practice locations: Bolton, MA

National Provider Directory

National Provider Directory

Locations

144 Merrimack St
Ste 305
Lowell, MA 01852

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": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1265067482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 OLD BAY RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401225",
            "telephone_number": "978-942-5454",
            "fax_number": "978-616-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 OLD BAY RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401225",
            "telephone_number": "978-942-5454",
            "fax_number": "978-616-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING TREE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "CLOUTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER, LICSW",
        "authorized_official_telephone_number": "978-942-5454"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.