Organization Active NPI

Bwellness Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1467391862
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BWELLNESS BEHAVIORAL HEALTH LLC
Practice address
120 Stafford St Ste 209
Worcester, MA 01603-1454
Phone
(508) 762-8912
Fax
(508) 501-5504
NPI assigned
Mar 28, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Bernice AnkomahNPI 1598248619
Title
Owner/Founder
Phone
(508) 762-8912

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

120 Stafford St Ste 209
Worcester, MA 01603-1454

Mailing address

120 Stafford St Ste 209
Worcester, MA 01603-1454
Phone (508) 501-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260525000353 MA Part B Supplier - Clinic/Group Practice 3870063456 Receives reassigned benefits from 1 practitioner
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

120 Stafford St
Ste 209
Worcester, MA 01603
Phone (508) 762-1331

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": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1467391862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST STE 209",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031454",
            "telephone_number": "508-501-0337",
            "fax_number": "508-501-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST STE 209",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031454",
            "telephone_number": "508-762-8912",
            "fax_number": "508-501-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWELLNESS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "ANKOMAH",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "508-762-8912"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.