Active NPI
Soulwell Care
Doing business as Therapy with Porsche
- Mental Health Counselor
- Woburn, MA
National Provider Identifier
1316674450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SOULWELL CARE
- Doing business as
- Therapy with Porsche
- Practice address
- 623 Main St Ste 21a
Woburn, MA 01801-2999 - Phone
- (978) 781-0584
- NPI assigned
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Porsche Lockett, LMHC
- Title
- Ceo/Founder
- Phone
- (404) 693-2871
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
623 Main St Ste 21a
Woburn, MA 01801-2999
Mailing address
46 Park St Apt 7
Malden, MA 02148-4058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-2786326 | Other | MA | NPI 1 |
Other names 1
- Therapy with Porsche
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hello@therapywithporsche.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Woburn, MA
- NPI 1104254978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1316674450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 PARK ST APT 7",
"city": "MALDEN",
"state": "MA",
"postal_code": "021484058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 MAIN ST STE 21A",
"city": "WOBURN",
"state": "MA",
"postal_code": "018012999",
"telephone_number": "978-781-0584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOULWELL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-06-30",
"status": "A",
"authorized_official_last_name": "LOCKETT",
"authorized_official_first_name": "PORSCHE",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "404-693-2871",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "84-2786326",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hello@therapywithporsche.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "623 Main St Ste 21A",
"city": "Woburn",
"state": "MA",
"country_code": "US",
"postal_code": "018012999",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Therapy with Porsche",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.