Individual provider Active NPI

Julia Grace Wondrack

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1588451629
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1515 Hancock St Ste 306
Quincy, MA 02169-5244
Phone
(617) 404-3621
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1515 Hancock St Ste 306
Quincy, MA 02169-5244

Mailing address

1515 Hancock St Ste 306
Quincy, MA 02169-5244
Phone (617) 404-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Change PLLC CurrentSince Oct 5, 2025 Accepting new patients
Lexington Center for Recovery, Inc. PastSince Dec 28, 2025 Accepting new patients
Lexington Center for Recovery, Inc. PastSince Apr 1, 2025 Accepting new patients

Locations

1515 Hancock St
Ste 306
Quincy, MA 02169
Phone (617) 404-3621

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1588451629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HANCOCK ST STE 306",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695244",
            "telephone_number": "617-404-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HANCOCK ST STE 306",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695244",
            "telephone_number": "617-404-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDRACK",
        "first_name": "JULIA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2025; 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.