Souls Sprout Mindful Care, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOULS SPROUT MINDFUL CARE, INC

Practice address

800 Boylston St FL 16
Boston, MA 02199-7637

Phone

(781) 261-0822

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Shanice Veasey, LMHCNPI 1538692678

Title

President

Phone

(781) 261-0822

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanice Veasey, LMHC

  • Counselor
  • Boston, MA
  • NPI 1538692678
  NPD Authorized official

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1912512260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOYLSTON ST FL 16",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997637",
            "telephone_number": "781-261-0822",
            "fax_number": "857-202-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOYLSTON ST FL 16",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997637",
            "telephone_number": "781-261-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULS SPROUT MINDFUL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "VEASEY",
        "authorized_official_first_name": "SHANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-261-0822",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanique Souffrant, ARNP-CNP, FNP-BC
• Alexander A. Soukas, MD, PHD
• Soul & Ego LLC (Soul Over Ego Counseling & More)
• Janet S Soul, MD
• Susan Soule-Hinds, CRNA
• Fereshteh S Soumekh, MD
• Jacob D. Soumerai, MD
• Tara E Soumerai, M.D.
• Sitara S Soundararajan-Shah, MD
• Jessica Lee Sousa

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.