NPIMap

Organization Active NPI

Luminosity Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Brockton, MA
National Provider Identifier
1265728521
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUMINOSITY BEHAVIORAL HEALTH SERVICES INC
Doing business as
Luminosity Behavioral Health Services Inc
Practice address
157 Main St
Brockton, MA 02301-4012
Phone
(781) 344-0102
Fax
(781) 344-1635
NPI assigned
Jun 24, 2011
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Karen D Allen, M.ED,LADCINPI 1639468945
Title
Ceo
Phone
(781) 344-0102

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
Community/Behavioral Health Agency 251S00000X MA Primary

Addresses

Primary practice location

157 Main St
Brockton, MA 02301-4012

Mailing address

157 Main St
Brockton, MA 02301-4012
Phone (781) 344-0102

Other names 1

  • Luminosity Behavioral Health Services Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120322000614 MA Part B Supplier - Clinic/Group Practice 7618137977 Receives reassigned benefits from 6 practitioners
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory
Tax ID family
Luminosity Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

157 Main St
Brockton, MA 02301
Phone (508) 559-1567

157 Main St
Ste 201
Brockton, MA 02301

810 Washington St
Ste 1
Stoughton, MA 02072

Practitioners & affiliated clinicians

Practitioners 9

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": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1265728521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014012",
            "telephone_number": "781-344-0102",
            "fax_number": "781-344-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014012",
            "telephone_number": "781-344-0102",
            "fax_number": "781-344-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOSITY BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-344-0102",
        "authorized_official_credential": "M.ED,LADCI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminosity Behavioral Health Services Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luminosity Behavioral Health Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.