Organization Active NPI

Grounded Soul Therapy LCSW PLLC

  • Clinical Social Worker
  • Watertown, NY
National Provider Identifier
1952100539
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROUNDED SOUL THERAPY LCSW PLLC
Practice address
232 Commerce Park Dr Unit 502
Watertown, NY 13601-8521
Phone
(315) 533-2479
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Mrs. Tara Phillips-McAuliffe, LCSW-RNPI 1619037819
Title
Owner/Therapist
Phone
(315) 533-2479

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

232 Commerce Park Dr Unit 502
Watertown, NY 13601-8521

Mailing address

232 Commerce Park Dr Unit 502
Watertown, NY 13601-8521
Phone (315) 533-2479

Other names 1

  • Grounded Soul Therapy Other name

National Provider Directory

National Provider Directory

Locations

232 Commerce Park Dr
Unit 502
Watertown, NY 13601
Phone (315) 533-2479

Practitioners & affiliated clinicians

Practitioners 1

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": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1952100539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 COMMERCE PARK DR UNIT 502",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136018521",
            "telephone_number": "315-533-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 COMMERCE PARK DR UNIT 502",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136018521",
            "telephone_number": "315-533-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED SOUL THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS-MCAULIFFE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "315-533-2479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grounded Soul Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.