Organization Active NPI

Family Healing Wellness Center LLC

  • Mental Health Counselor
  • Saugus, MA
National Provider Identifier
1932963915
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY HEALING WELLNESS CENTER LLC
Practice address
999 Broadway Ste 305
Saugus, MA 01906-4510
Phone
(781) 558-1561
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Cileimar Oliveira, LICSWNPI 1548491533
Title
Ceo
Phone
(617) 501-8008

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

999 Broadway Ste 305
Saugus, MA 01906-4510

Mailing address

999 Broadway Ste 305
Saugus, MA 01906-4510
Phone (781) 558-1561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106001525 MA Part B Supplier - Clinic/Group Practice 2163912346 Receives reassigned benefits from 1 practitioner
Practice locations: Saugus, MA

National Provider Directory

National Provider Directory

Locations

999 Broadway
Ste 305
Saugus, MA 01906
Phone (339) 231-7027

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1932963915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BROADWAY STE 305",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064510",
            "telephone_number": "781-558-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BROADWAY STE 305",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064510",
            "telephone_number": "781-558-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALING WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "CILEIMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-501-8008",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.