Organization Active NPI

Warrior Heart Counseling LLC

  • Mental Health Counselor
  • Hyde Park, MA
National Provider Identifier
1801666136
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WARRIOR HEART COUNSELING LLC
Practice address
66 Lodgehill Rd
Hyde Park, MA 02136-1314
Phone
(774) 644-1808
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Rebecca Jenn Demello Egan, M.A., M.ED., LMHCNPI 1134653611
Title
Clinical Therapist
Phone
(774) 644-1808

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

66 Lodgehill Rd
Hyde Park, MA 02136-1314

Mailing address

66 Lodgehill Rd
Hyde Park, MA 02136-1314
Phone (617) 237-6371

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1801666136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LODGEHILL RD",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361314",
            "telephone_number": "617-237-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LODGEHILL RD",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361314",
            "telephone_number": "774-644-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR HEART COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "DEMELLO EGAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JENN",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "774-644-1808",
        "authorized_official_credential": "M.A., M.ED., LMHC"
    },
    "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 Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.