NPIMap

Organization Active NPI

413 Theraworks LLC

  • Mental Health Counselor
  • North Adams, MA
National Provider Identifier
1437706405
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
413 THERAWORKS LLC
Practice address
60 Roberts Dr Ste 215
North Adams, MA 01247-3256
Phone
(413) 353-2515
NPI assigned
Aug 23, 2019
Last updated
Aug 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Candace Wall
Title
Owner
Phone
(413) 353-2515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

60 Roberts Dr Ste 215
North Adams, MA 01247-3256

Mailing address

60 Roberts Dr Ste 215
North Adams, MA 01247-3256
Phone (413) 353-2515

National Provider Directory

National Provider Directory

Locations

60 Roberts Dr
Ste 215
North Adams, MA 01247
Phone (413) 353-2515

Practitioners & affiliated clinicians

Practitioners 2

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": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1437706405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROBERTS DR STE 215",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012473256",
            "telephone_number": "413-353-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROBERTS DR STE 215",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012473256",
            "telephone_number": "413-353-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "413 THERAWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-353-2515"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.