NPIMap

Organization Active NPI

North Shore Wellness & Therapy Center, LLC

  • Counselor
  • Danvers, MA
National Provider Identifier
1902354640
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
NORTH SHORE WELLNESS & THERAPY CENTER, LLC
Practice address
80 Lindall St
Danvers, MA 01923-2135
Phone
(978) 406-4234
Fax
(978) 921-2968
NPI assigned
Sep 12, 2016
Last updated
Sep 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Mr. David L Smith
Title
Managing Partner
Phone
(978) 406-4234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

80 Lindall St
Danvers, MA 01923-2135

Mailing address

80 Lindall St
Danvers, MA 01923-2135
Phone (978) 406-4234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1902354640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-406-4234",
            "fax_number": "978-921-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-406-4234",
            "fax_number": "978-921-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE WELLNESS & THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "978-406-4234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.