Organization Active NPI

Terrapin Therapeutic Collaborative

  • Mental Health Counselor
  • Reading, MA
National Provider Identifier
1285192880
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TERRAPIN THERAPEUTIC COLLABORATIVE
Doing business as
Terrapin Therapeutic Collaborative
Practice address
22 Woburn St
Reading, MA 01867-3026
Phone
(978) 998-5694
NPI assigned
Mar 4, 2019
Last updated
Mar 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Kourtney Bartlett-Kiechle, LMHC
Title
Executive Director
Phone
(978) 998-5694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

22 Woburn St
Reading, MA 01867-3026

Mailing address

PO Box 21
East Kingston, NH 03827-0021
Phone (978) 810-1959

Other names 1

  • Terrapin Therapeutic Collaborative Doing business as

National Provider Directory

National Provider Directory

Locations

22 Woburn St
Reading, MA 01867
Phone (781) 944-1600

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1285192880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "EAST KINGSTON",
            "state": "NH",
            "postal_code": "038270021",
            "telephone_number": "978-810-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WOBURN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673026",
            "telephone_number": "978-998-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRAPIN THERAPEUTIC COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BARTLETT-KIECHLE",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-998-5694",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrapin Therapeutic Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.