NPIMap

Organization Active NPI

Cornerstone Wellness Center PC

  • Mental Health Counselor
  • Dartmouth, MA
National Provider Identifier
1285418681
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CORNERSTONE WELLNESS CENTER PC
Practice address
88 Faunce Corner Mall Rd Unit 230
Dartmouth, MA 02747-1295
Phone
(508) 951-9802
Fax
(508) 300-0302
NPI assigned
Aug 24, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Jonathan Joseph Lima Botelho, LMHCNPI 1083937197
Title
President/Ceo and Therapist
Phone
(508) 951-9802

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

88 Faunce Corner Mall Rd Unit 230
Dartmouth, MA 02747-1295

Mailing address

88 Faunce Corner Mall Rd Unit 230
Dartmouth, MA 02747-1295
Phone (508) 951-9802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240109000989 MA Part B Supplier - Clinic/Group Practice 2163873704 Receives reassigned benefits from 7 practitioners
Practice locations: North Dartmouth, MA

National Provider Directory

National Provider Directory

Locations

88 Faunce Corner Mall Rd
Unit 230
North Dartmouth, MA 02747
Phone (508) 951-9802

Practitioners & affiliated clinicians

Practitioners 10

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": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1285418681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 FAUNCE CORNER MALL RD UNIT 230",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471295",
            "telephone_number": "508-951-9802",
            "fax_number": "508-300-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 FAUNCE CORNER MALL RD UNIT 230",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471295",
            "telephone_number": "508-951-9802",
            "fax_number": "508-300-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BOTELHO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JOSEPH LIMA",
        "authorized_official_title_or_position": "PRESIDENT/CEO AND THERAPIST",
        "authorized_official_telephone_number": "508-951-9802",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.