NPIMap

Organization Active NPI

Healing Trauma Center Inc.

  • Mental Health Counselor
  • New Bedford, MA
National Provider Identifier
1629835095
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING TRAUMA CENTER INC.
Practice address
150 8TH St FL 1
New Bedford, MA 02740-6003
Phone
(774) 328-8718
Fax
(774) 202-2826
NPI assigned
Mar 4, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Kim Christine Spooner, LMHCNPI 1003166950
Title
Executive Director
Phone
(774) 328-8718

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

150 8TH St FL 1
New Bedford, MA 02740-6003

Mailing address

150 8TH St
New Bedford, MA 02740-6003
Phone (774) 328-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624003009 MA Part B Supplier - Clinic/Group Practice 8022551670 Receives reassigned benefits from 5 practitioners
Practice locations: New Bedford, MA

National Provider Directory

National Provider Directory

Locations

150 8th St
New Bedford, MA 02740
Phone (774) 328-8718

150 8th St
#1
New Bedford, MA 02740
Phone (508) 509-3542

380 County St
New Bedford, MA 02740
Phone (774) 328-8717

Practitioners & affiliated clinicians

Practitioners 11

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": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1629835095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 8TH ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406003",
            "telephone_number": "774-328-8718",
            "fax_number": "774-202-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 8TH ST FL 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406003",
            "telephone_number": "774-328-8718",
            "fax_number": "774-202-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TRAUMA CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "774-328-8718",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.