Organization Active NPI

The Octavia Therapy and Wellness Practice LLC

  • Mental Health Counselor
  • Ashburnham, MA
National Provider Identifier
1770497430
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE OCTAVIA THERAPY AND WELLNESS PRACTICE LLC
Practice address
47 Dunn Rd
Ashburnham, MA 01430-3002
Phone
(717) 802-1180
Fax
(351) 333-1853
NPI assigned
Sep 30, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Octavia Nankunda, LMHCNPI 1083107668
Title
Owner/ Clinician
Phone
(717) 802-1180

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

47 Dunn Rd
Ashburnham, MA 01430-3002

Mailing address

47 Dunn Rd
Ashburnham, MA 01430-3002
Phone (717) 802-1180

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": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1770497430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DUNN RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014303002",
            "telephone_number": "717-802-1180",
            "fax_number": "351-333-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 DUNN RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014303002",
            "telephone_number": "717-802-1180",
            "fax_number": "351-333-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OCTAVIA THERAPY AND WELLNESS PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "NANKUNDA",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER/ CLINICIAN",
        "authorized_official_telephone_number": "717-802-1180",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburnham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.