Organization Active NPI

Atlas Counseling & Consulting LLC

  • Mental Health Counselor
  • Cambridge, MA
National Provider Identifier
1295462877
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ATLAS COUNSELING & CONSULTING LLC
Practice address
875 Massachusetts Ave Ste 55
Cambridge, MA 02139-3067
Phone
(617) 902-0763
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Dr. Nikole Wilson, PHD, LMHCNPI 1558825992
Title
Owner
Phone
(407) 618-6369

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

875 Massachusetts Ave Ste 55
Cambridge, MA 02139-3067

Mailing address

20 Cooper St Unit 128
Waltham, MA 02453-5492

National Provider Directory

National Provider Directory

Locations

875 Massachusetts Ave
Ste 55
Cambridge, MA 02139
Phone (617) 492-2760

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": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1295462877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COOPER ST UNIT 128",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE STE 55",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-902-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NIKOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-618-6369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, 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 Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.