Paradise Healing LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PARADISE HEALING LLC

Practice address

500 N Main St
Randolph, MA 02368-6700

Phone

(781) 267-0954

Fax

(781) 885-0789

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Allaphia Sackeena Richards, LMHC, LSWNPI 1568960094

Title

Clinicial/ Manager Owner

Phone

(781) 267-0954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Allaphia Sackeena Richards, M.ED

  • Clinical Social Worker
  • Randolph, MA
  • NPI 1568960094

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Kourtnie Johnson, LCSWA

  • Social Worker
  • Nashville, NC
  • NPI 1114633757

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1356025670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-267-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-267-0954",
            "fax_number": "781-885-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ALLAPHIA",
        "authorized_official_middle_name": "SACKEENA",
        "authorized_official_title_or_position": "CLINICIAL/ MANAGER OWNER",
        "authorized_official_telephone_number": "781-267-0954",
        "authorized_official_credential": "LMHC, LSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esosa Otoadese, RN
• Brittany Owens
• Michele Pady-Moise, NP
• Jacob Page, LMHC
• Julie A Panchamsingh-Barakat, ED.D
• Nicole Partridge, LBA
• Tracy Paskiewicz, PH.D PSYCHOLOGIST
• Avni Patel
• Patz Chiropractic, P.C.
• Aaron J Patz, DC

• Mental Health Counselor in Randolph, MA
• Providers in Randolph, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.