Active NPI
Pleasure Bay Wellness
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1386379469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PLEASURE BAY WELLNESS
- Practice address
- 41 Farragut Rd Apt 3
Boston, MA 02127-6664 - Phone
- (857) 301-8596
- NPI assigned
- Jul 21, 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
- Jeffrey Pesaturo, M.ED, LMHC
- Title
- Owner
- Phone
- (857) 301-8596
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
41 Farragut Rd Apt 3
Boston, MA 02127-6664
Mailing address
41 Farragut Rd Apt 3
Boston, MA 02127-6664
Phone (857) 301-8596
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
- Boston, MA
- NPI 1770913907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658966400000",
"number": "1386379469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 FARRAGUT RD APT 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021276664",
"telephone_number": "857-301-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 FARRAGUT RD APT 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021276664",
"telephone_number": "857-301-8596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASURE BAY WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A",
"authorized_official_last_name": "PESATURO",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "857-301-8596",
"authorized_official_credential": "M.ED, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.