Organization Active NPI

Mosaic Healing Collective

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1285574624
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOSAIC HEALING COLLECTIVE
Practice address
264 Beacon St Ste 3
Boston, MA 02116-1236
Phone
(617) 766-0443
NPI assigned
Mar 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Amy Grace Sullivan, LMHCNPI 1164144432
Title
Psychotherapist
Phone
(617) 766-0443

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

264 Beacon St Ste 3
Boston, MA 02116-1236

Mailing address

264 Beacon St Ste 3
Boston, MA 02116-1236
Phone (617) 766-0443

National Provider Directory

National Provider Directory

Locations

264 Beacon St
Ste 3
Boston, MA 02116
Phone (617) 766-0443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774656000000",
    "number": "1285574624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BEACON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "617-766-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "617-766-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC HEALING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "617-766-0443",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.