Organization Active NPI

Total Health Holistic Center, Inc.

  • Chiropractor
  • Worcester, MA
National Provider Identifier
1578549978
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2269 Issued in MA
Legal business name
TOTAL HEALTH HOLISTIC CENTER, INC.
Practice address
24 Holland Rd Apt 1
Worcester, MA 01603-1858
Phone
(978) 821-7054
Fax
(774) 208-0712
NPI assigned
Dec 16, 2005
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Karen Lynn St.LaurentNPI 1780660712
Title
Owner
Phone
(978) 821-7054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2269 MA Primary

Addresses

Primary practice location

24 Holland Rd Apt 1
Worcester, MA 01603-1858

Mailing address

24 Holland Rd Apt 1
Worcester, MA 01603-1858
Phone (978) 821-7054

Other identifiers 12

IdentifierTypeStateIssuer
1612913MedicaidMA
1867401004OtherMACIGNA HEALTH CARE
2859278OtherMAAETNA/US HEALTHCARE
Y39715OtherMABC/BS OF MA GROUP ID
9228734OtherMAPHCS
Y36596OtherMABC/BS OF MA INDIVIDUAL ID
27243OtherMANEIGHBORHOOD HEALTH PLAN
4404288OtherMAUNITED HEALTH CARE
798431OtherMATUFTS HEALTH PLAN
974044OtherMANETWORK HEALTH PLAN
033487192OtherMAHCVM
351902OtherMAHARVARD PILGRIM

National Provider Directory

National Provider Directory

Locations

340 Main St
Ste 510
Worcester, MA 01608
Phone (508) 890-8828

390 Main St
Ste 1034
Worcester, MA 01608
Phone (508) 890-8828

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": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1578549978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOLLAND RD APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031858",
            "telephone_number": "978-821-7054",
            "fax_number": "774-208-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOLLAND RD APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031858",
            "telephone_number": "978-821-7054",
            "fax_number": "774-208-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH HOLISTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "ST.LAURENT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-821-7054"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612913",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "1867401004",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "2859278",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA GROUP ID",
            "identifier": "Y39715",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9228734",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA INDIVIDUAL ID",
            "identifier": "Y36596",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "27243",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4404288",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "798431",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN",
            "identifier": "974044",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCVM",
            "identifier": "033487192",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "351902",
            "state": "MA"
        }
    ],
    "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 Jun 24, 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.