NPIMap

Organization Active NPI

Lifting Spirits - Healing Minds, LLC

  • Community/Behavioral Health Agency
  • Fall River, MA
National Provider Identifier
1780165571
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
9026 Issued in MA
Legal business name
LIFTING SPIRITS - HEALING MINDS, LLC
Practice address
10 Purchase St Ste 301
Fall River, MA 02720-3100
Phone
(774) 296-9898
Fax
(888) 876-3055
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Bethanie Leonardo, LMHC
Title
Clinician
Phone
(774) 296-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 9026 MA Primary

Addresses

Primary practice location

10 Purchase St Ste 301
Fall River, MA 02720-3100

Mailing address

46 Ryans Way
Swansea, MA 02777-0417

Other identifiers 1

IdentifierTypeStateIssuer
1295009983MedicaidMA

National Provider Directory

National Provider Directory

Locations

10 Purchase St
Ste 301
Fall River, MA 02720
Phone (617) 460-7411

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1780165571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RYANS WAY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027770417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PURCHASE ST STE 301",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203100",
            "telephone_number": "774-296-9898",
            "fax_number": "888-876-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTING SPIRITS - HEALING MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "LEONARDO",
        "authorized_official_first_name": "BETHANIE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "774-296-9898",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "9026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295009983",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.