NPIMap

Organization Active NPI

Mossy Stone Counseling & Wellness, LLC

  • Mental Health Counselor
  • Holbrook, MA
National Provider Identifier
1396489092
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOSSY STONE COUNSELING & WELLNESS, LLC
Practice address
70 Stevens Dr
Holbrook, MA 02343-1239
Phone
(310) 663-4607
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Sarina Francesca Van ZylNPI 1811582638
Title
Owner, LMHC
Phone
(310) 663-4607

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

70 Stevens Dr
Holbrook, MA 02343-1239

Mailing address

70 Stevens Dr
Holbrook, MA 02343-1239

National Provider Directory

National Provider Directory

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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1396489092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 STEVENS DR",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023431239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 STEVENS DR",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023431239",
            "telephone_number": "310-663-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSY STONE COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "VAN ZYL",
        "authorized_official_first_name": "SARINA",
        "authorized_official_middle_name": "FRANCESCA",
        "authorized_official_title_or_position": "OWNER, LMHC",
        "authorized_official_telephone_number": "310-663-4607"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.