Organization Active NPI

Ariel Wallen LLC

  • Community/Behavioral Health Agency
  • Swampscott, MA
National Provider Identifier
1497414015
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARIEL WALLEN LLC
Practice address
62 Pine St
Swampscott, MA 01907-1828
Phone
(716) 445-9097
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Ariel Wallen, LICSWNPI 1588956759
Title
Therapist
Phone
(716) 445-9097

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

62 Pine St
Swampscott, MA 01907-1828

Mailing address

62 Pine St
Swampscott, MA 01907-1828
Phone (716) 445-9097

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.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1497414015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PINE ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071828",
            "telephone_number": "716-445-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PINE ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071828",
            "telephone_number": "716-445-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL WALLEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "716-445-9097",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.