Organization Active NPI

Soulful Essentials, Inc

  • Community/Behavioral Health Agency
  • Burlington, MA
National Provider Identifier
1851763551
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOULFUL ESSENTIALS, INC
Practice address
67 S Bedford St Ste 400
Burlington, MA 01803-5108
Phone
(978) 398-8780
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Venita N Qualls, LMHCNPI 1881934339
Title
Owner
Phone
(978) 398-8780

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

67 S Bedford St Ste 400
Burlington, MA 01803-5108

Mailing address

67 S Bedford St Ste 400
Burlington, MA 01803-5108
Phone (978) 398-8780

National Provider Directory

National Provider Directory

Locations

71 Main St
Ste 2400
Taunton, MA 02780
Phone (508) 386-1300

4 Court St
Ste 202
Taunton, MA 02780

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": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1851763551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S BEDFORD ST STE 400",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035108",
            "telephone_number": "978-398-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S BEDFORD ST STE 400",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035108",
            "telephone_number": "978-398-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL ESSENTIALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "VENITA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-398-8780",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.