Organization Active NPI

Onyx Counseling and Wellness LLC

  • Social Worker
  • Marlborough, MA
National Provider Identifier
1952054546
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ONYX COUNSELING AND WELLNESS LLC
Practice address
488 Boston Post Rd E
Marlborough, MA 01752-3608
Phone
(617) 249-3577
Fax
(617) 812-1702
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Michael Manchester-MilesNPI 1780235416
Title
Manager
Phone
(617) 249-3577

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

488 Boston Post Rd E
Marlborough, MA 01752-3608

Mailing address

11 Apex Dr Ste 300a
Marlborough, MA 01752-1977
Phone (617) 249-3577

Other practice location 1

11 Apex Dr Ste 300A
Marlborough, MA 01752-1977
Phone (617) 249-3577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613000035 MA Part B Supplier - Clinic/Group Practice 9537670922 Receives reassigned benefits from 2 practitioners
Practice locations: Marlborough, MA

National Provider Directory

National Provider Directory

Locations

488 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 786-0707

488 Boston Post Rd
Ste E2
Marlborough, MA 01752
Phone (617) 249-3577

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1952054546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 APEX DR STE 300A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521977",
            "telephone_number": "617-249-3577",
            "fax_number": "617-812-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 BOSTON POST RD E",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523608",
            "telephone_number": "617-249-3577",
            "fax_number": "617-812-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Apex Dr Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017521977",
            "country_code": "US",
            "telephone_number": "617-249-3577",
            "fax_number": "617-812-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONYX COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "MANCHESTER-MILES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-249-3577"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.