Headwaters Therapy PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEADWATERS THERAPY PLLC

Practice address

100 Weymouth St Ste D
Rockland, MA 02370-1145

Phone

(508) 289-1787

NPI assigned

Jun 30, 2026

Last updated

Jun 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Simon Davis-Millis, LICSWNPI 1588030233

Title

Owner

Phone

(508) 289-1787

Specialties & licenses 1

Addresses

Locations

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.

• Simon Davis-Millis

  • Social Worker
  • Rockland, MA
  • NPI 1588030233
  Authorized official Same address or phone

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1467379669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEYMOUTH ST STE D",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701145",
            "telephone_number": "508-289-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEYMOUTH ST STE D",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701145",
            "telephone_number": "508-289-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS-MILLIS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-289-1787",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Gates, PHD
• Michael D Gaudet, LICSW
• Kerry A Glover
• Donna Golden, NP
• Marlia Sandra Granigan, DMD
• Healthcare South PC
• Brandy Hopkins
• Danielle Marie Hopkins, MT-BC
• Denise A Howley, LICSW, PH.D.
• Tony Huang, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rockland, MA
• Providers in Rockland, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.