NPIMap

Organization Active NPI

BK Wellness LLC

  • Mental Health Counselor
  • Somerville, MA
National Provider Identifier
1669247813
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BK WELLNESS LLC
Practice address
33 Summer St Apt 6
Somerville, MA 02143-1728
Phone
(860) 212-8626
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Bridget KileyNPI 1699305623
Title
President
Phone
(860) 212-8626

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

33 Summer St Apt 6
Somerville, MA 02143-1728

Mailing address

33 Summer St Apt 6
Somerville, MA 02143-1728
Phone (860) 212-8626

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, 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": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1669247813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SUMMER ST APT 6",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431728",
            "telephone_number": "860-212-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SUMMER ST APT 6",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431728",
            "telephone_number": "860-212-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "KILEY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-212-8626"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.