Organization Active NPI

Black Butterfly Therapy, LLC

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1386308427
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLACK BUTTERFLY THERAPY, LLC
Practice address
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Phone
(781) 884-8282
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Mrs. Tanya N Frost, LICSWNPI 1659768463
Title
Practice Owner/Psychotherapist
Phone
(781) 884-8282

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066

Mailing address

413 Neponset Ave
1St Floor
Boston, MA 02122
Phone (404) 680-0214

Other names 1

  • Sage Therapeutic Solutions, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

413 Neponset Ave
Ste 1
Dorchester, MA 02122
Phone (617) 221-5024

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1386308427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 NEPONSET AVE",
            "address_2": "1ST FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02122",
            "telephone_number": "404-680-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 WENDELL AVE STE 100",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017066",
            "telephone_number": "781-884-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BUTTERFLY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRACTICE OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "781-884-8282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Therapeutic Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.