NPIMap

Organization Active NPI

New Life Counseling & Wellness Center, Inc.

  • Mental Health Counselor
  • Randolph, MA
National Provider Identifier
1376768325
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW LIFE COUNSELING & WELLNESS CENTER, INC.
Practice address
400 N Main St
Randolph, MA 02368-4104
Phone
(781) 986-4800
Fax
(781) 986-4801
NPI assigned
Apr 16, 2007
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Paula Duvelson, PH.D., LMHC
Title
Ceo
Phone
(781) 885-0277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

400 N Main St
Randolph, MA 02368-4104

Mailing address

400 N Main St
Randolph, MA 02368-4104
Phone (781) 986-4800

Other identifiers 4

IdentifierTypeStateIssuer
1073420OtherMABEACON HEALTH STRATEGIES, LLC
4537873OtherMACIGNA
019895OtherMAMBHP/VALUEOPTIONS, INC.
V22650OtherMANETWORK HEALTH

National Provider Directory

National Provider Directory
Tax ID family
New Life Counseling Center Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 N Main St
Randolph, MA 02368
Phone (781) 885-0277

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1376768325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684104",
            "telephone_number": "781-986-4800",
            "fax_number": "781-986-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684104",
            "telephone_number": "781-986-4800",
            "fax_number": "781-986-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "DUVELSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-885-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES, LLC",
            "identifier": "1073420",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4537873",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP/VALUEOPTIONS, INC.",
            "identifier": "019895",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "V22650",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

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