Cultivate Consciously Wellness Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CULTIVATE CONSCIOUSLY WELLNESS COUNSELING, LLC

Practice address

210 Park Ave Ste 231
Worcester, MA 01609-2246

Phone

(508) 659-2380

Fax

(774) 243-0597

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Cristen Elaina Smith, LMHC, LPC, BC-TMHNPI 1700135753

Title

Founder

Phone

(508) 669-7166

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.

• Cristen Smith, LPC, LMHC

  • Mental Health Counselor
  • Milford, CT
  • NPI 1700135753
  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1851994883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PARK AVE STE 231",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092246",
            "telephone_number": "508-659-2380",
            "fax_number": "774-243-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PARK AVE STE 231",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092246",
            "telephone_number": "508-659-2380",
            "fax_number": "774-243-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE CONSCIOUSLY WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CRISTEN",
        "authorized_official_middle_name": "ELAINA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "508-669-7166",
        "authorized_official_credential": "LMHC, LPC, BC-TMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M. Cukor, MD
• Debra Culberson
• Elizabeth A Cullen, NP
• Paula M Cullinane, M.D.
• Andrea Rene Culross
• Alexis Rose Culver
• Jessica L. Culver, R.N.
• Michael Kenneth Culver
• Albert Cumani, RN
• Chara Cummings

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, 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 14, 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.