Active NPI
Walnut and Dogwood LLC
- Counselor
- Somerville, MA
National Provider Identifier
1932925328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- WALNUT AND DOGWOOD LLC
- Practice address
- 175 Elm St
Somerville, MA 02144-3150 - Phone
- (339) 532-9681
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Pons
- Title
- Owner
- Phone
- (339) 532-9681
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
175 Elm St
Somerville, MA 02144-3150
Mailing address
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Phone (339) 532-9681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boston, MA
- NPI 1013418391
-
- Mental Health Counselor
- Cambridge, MA
- NPI 1407140148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1932925328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WENDELL AVE STE 100",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012017066",
"telephone_number": "339-532-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 ELM ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021443150",
"telephone_number": "339-532-9681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALNUT AND DOGWOOD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "PONS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "339-532-9681"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.