NPIMap

Organization Active NPI

Kokoro Wellness

  • Social Worker
  • Raynham, MA
National Provider Identifier
1396147294
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7728 Issued in MA
Legal business name
KOKORO WELLNESS
Practice address
53 Gatsby Dr Apt D
Raynham, MA 02767-8001
Phone
(508) 223-7801
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Laurie Jackson
Title
Owner/President
Phone
(508) 223-7801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 7728 MA Primary

Addresses

Primary practice location

53 Gatsby Dr Apt D
Raynham, MA 02767-8001

Mailing address

53D Gatsby Drive
Raynham, MA 02780
Phone (508) 223-7801

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1396147294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53D GATSBY DRIVE",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-223-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GATSBY DR APT D",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027678001",
            "telephone_number": "508-223-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKORO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-223-7801"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MA",
            "license": "7728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.