NPIMap

Organization Active NPI

Gentles Couseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
National Provider Identifier
1508616046
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GENTLES COUSELING SERVICES
Practice address
100 Grove St Ste 119
Worcester, MA 01605-2630
Phone
(774) 420-2060
Fax
(774) 530-6023
NPI assigned
Mar 26, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Tanieka Annaliecia GentlesNPI 1346551546
Title
Owner
Phone
(774) 242-0312

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 Grove St Ste 119
Worcester, MA 01605-2630

Mailing address

100 Grove St Ste 119
Worcester, MA 01605-2630
Phone (774) 420-2060

National Provider Directory

National Provider Directory
Tax ID family
Gentles Couseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Grove St
Ste 119
Worcester, MA 01605
Phone (774) 420-2060

Practitioners & affiliated clinicians

Practitioners 5

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": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1508616046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 119",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630",
            "telephone_number": "774-420-2060",
            "fax_number": "774-530-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 119",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630",
            "telephone_number": "774-420-2060",
            "fax_number": "774-530-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLES COUSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "GENTLES",
        "authorized_official_first_name": "TANIEKA",
        "authorized_official_middle_name": "ANNALIECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-242-0312"
    },
    "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": []
}

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 Mar 26, 2024; 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.