Organization Active NPI

Renewed Mind Body & Spirit Counseling LLC

  • Clinical Social Worker
  • Ware, MA
National Provider Identifier
1376255869
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEWED MIND BODY & SPIRIT COUNSELING LLC
Practice address
99 Old Poor Farm Rd
Ware, MA 01082-9780
Phone
(413) 335-5361
NPI assigned
Dec 16, 2022
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Michelle Auclair
Title
Owner
Phone
(413) 335-5361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

99 Old Poor Farm Rd
Ware, MA 01082-9780

Mailing address

99 Old Poor Farm Rd
Ware, MA 01082-9780
Phone (413) 335-5361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1376255869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 OLD POOR FARM RD",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010829780",
            "telephone_number": "413-335-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OLD POOR FARM RD",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010829780",
            "telephone_number": "413-335-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND BODY & SPIRIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "AUCLAIR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-335-5361"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ware, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.