Hidden Gems Counseling LLC

Primary specialty

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

Legal business name

HIDDEN GEMS COUNSELING LLC

Practice address

6 Liberty SQ, PMB 452
Boston, MA 02109

Phone

(508) 859-9402

Fax

(508) 213-3871

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Kailey Fasugba, LMHC, ATR-BC, LADC-1NPI 1437582947

Title

Owner

Phone

(508) 859-9402

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kailey Teresa Fasugba, LMHC

  • Mental Health Counselor
  • N Chelmsford, MA
  • NPI 1437582947
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1477167385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ, PMB 452",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "508-859-9402",
            "fax_number": "508-213-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ, PMB 452",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "508-859-9402",
            "fax_number": "508-213-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN GEMS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "FASUGBA",
        "authorized_official_first_name": "KAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-859-9402",
        "authorized_official_credential": "LMHC, ATR-BC, LADC-1"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR LICENSURE",
            "identifier": "9742",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kailey@hiddengemscounselingllc.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "Spruce Care Application for direct messages",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Liberty Square PMB 452",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Marie Hicks, M.D.
• Stephanie Hicks, MS
• Yale Hicks
• Rahma Hida, PHD
• Sussy A. Hidalgo, BS
• Annie Hien, MD, PHD
• Rebeca Hierro-Pardo
• Yojin Higashibaba
• Anne W Higgins, PH.D.
• Emily Jean Higgins, APRN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, MA
• Providers in Boston, 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 Sep 8, 2020; 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.