Individual provider Active NPI

Comfort Nyeswah-Wiafe

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1891181426
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1120 Hancock St
Quincy, MA 02169-4313
Phone
(617) 471-8400
Fax
(617) 376-8910
NPI assigned
Apr 10, 2015
Reactivated
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1120 Hancock St
Quincy, MA 02169-4313

Mailing address

1120 Hancock St
Quincy, MA 02169-4313
Phone (617) 471-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Feb 7, 2024 Accepting new patients
Comfort Counseling Center PLLC Mental Health Current Accepting new patients
Bay State Community Services, Inc. PastSince Mar 18, 2015 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1891181426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694313",
            "telephone_number": "617-471-8400",
            "fax_number": "617-376-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694313",
            "telephone_number": "617-471-8400",
            "fax_number": "617-376-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYESWAH-WIAFE",
        "first_name": "COMFORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "deactivation_date": "2020-12-04",
        "reactivation_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.