Evolving Mind and Body, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVOLVING MIND AND BODY, LLC

Practice address

200 Manchonis Rd Ext
Wilbraham, MA 01095-1414

Phone

(413) 279-4424

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Bailey, LMHCNPI 1649406034

Title

Owner

Phone

(413) 279-4424

Specialties & licenses 1

Addresses

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.

• Andrea L Bailey, LMHC

  • Mental Health Counselor
  • Hampden, MA
  • NPI 1649406034
  NPD Authorized official

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1851171698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MANCHONIS RD EXT",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951414",
            "telephone_number": "413-279-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MANCHONIS RD EXT",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951414",
            "telephone_number": "413-279-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING MIND AND BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-279-4424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Eckhoff, PT
• Joseph J Egan, MD
• Nasser M El Mallah, MD
• Amanda Elliston, LDN, CLC
• Amanda J Evangelisto
• Excel Home Care Services, Inc
• Excel Nursing Services, Inc
• Excel Therapy & Conditioning, LLC (Excel Therapy & Conditioning)
• Family Care Counseling Associates, Ins.
• John Dana Ferris, MD

• Mental Health Counselor in Wilbraham, MA
• Providers in Wilbraham, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.