NPIMap

Organization Active NPI

Kujichagulia Wellness Center

  • Community/Behavioral Health Agency
  • Boston, MA
National Provider Identifier
1295317774
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KUJICHAGULIA WELLNESS CENTER
Practice address
484 Blue Hill Ave
Boston, MA 02121-3238
Phone
(617) 221-5024
Fax
(781) 341-1378
NPI assigned
Apr 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Tiffany CooperNPI 1104370832
Title
Founder/Ceo
Phone
(617) 221-5024

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

484 Blue Hill Ave
Boston, MA 02121-3238

Mailing address

484 Blue Hill Ave Apt 2
Boston, MA 02121-3238
Phone (617) 221-5024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1619222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1295317774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 BLUE HILL AVE APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021213238",
            "telephone_number": "617-221-5024",
            "fax_number": "617-420-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 BLUE HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021213238",
            "telephone_number": "617-221-5024",
            "fax_number": "781-341-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUJICHAGULIA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-24",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "617-221-5024"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 7, 2025; 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.