Organization Active NPI

Reveal Wellness LLC

Doing business as Heidi Hulbig Mind Body Therapy

  • Clinical Social Worker
  • West Wareham, MA
National Provider Identifier
1407631880
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REVEAL WELLNESS LLC
Doing business as
Heidi Hulbig Mind Body Therapy
Practice address
7 Old Plate Rd
West Wareham, MA 02576-1236
Phone
(774) 766-8374
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Heidi Hulbig O'Neil, LICSWNPI 1861933970
Title
Owner
Phone
(774) 766-8374

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

7 Old Plate Rd
West Wareham, MA 02576-1236

Mailing address

PO Box 263
Monument Beach, MA 02553-0263
Phone (774) 766-8374

Other names 1

  • Heidi Hulbig Mind Body Therapy Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1407631880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "MONUMENT BEACH",
            "state": "MA",
            "postal_code": "025530263",
            "telephone_number": "774-766-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD PLATE RD",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025761236",
            "telephone_number": "774-766-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "HULBIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-766-8374",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heidi Hulbig Mind Body Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.