Healing Lotus Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEALING LOTUS COUNSELING

Practice address

6 Liberty SQ # 2462
Boston, MA 02109-5800

Phone

(857) 293-1321

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Kelly A Broderick, LICSWNPI 1407193758

Title

Owner / Clinical Therapist

Phone

(857) 293-1321

Specialties & licenses 1

Addresses

Other names 1

• Kelly Broderick Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Anne Broderick, LICSW

  • Clinical Social Worker
  • Lynn, MA
  • NPI 1407193758
  NPD Authorized official

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1740919018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ # 2462",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "857-293-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ # 2462",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "857-293-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING LOTUS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CLINICAL THERAPIST",
        "authorized_official_telephone_number": "857-293-1321",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Broderick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jewel Heald, MA
• Healer Hui LLC
• Allison B Healey, PA-C
• Patricia Anne Healey, CPHT
• William John Healey III, M.S.W.
• Healing Oasis by D, PLLC
• Healing With Trust Therapy, LLC
• Health for Mankind Company
• Health Line Transport
• Health Psychology Associates of Boston

• Adult Mental Health Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.