NPIMap

Organization Active NPI

New Beginnings Reentry Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Boston, MA
National Provider Identifier
1952898330
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14960 Issued in MA
Legal business name
NEW BEGINNINGS REENTRY SERVICES, INC.
Practice address
22 Drydock Ave Ofc 3
Boston, MA 02210-2386
Phone
(857) 237-2780
Fax
(617) 507-6176
NPI assigned
Apr 20, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Stacey K Borden, LADC I 14960NPI 1992292361
Title
Founder/Sud Counselor
Phone
(857) 237-2780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 14960 MA
Addiction (Substance Use Disorder) Counselor 101YA0400X 14960 MA Primary
Community/Behavioral Health Agency 251S00000X 14960 MA

Addresses

Primary practice location

22 Drydock Ave Ofc 3
Boston, MA 02210-2386

Mailing address

22 Drydock Ave Ofc 3
Boston, MA 02210-2386
Phone (857) 237-2780

National Provider Directory

National Provider Directory

Locations

22 Drydock Ave
Ofc 3
Boston, MA 02210
Phone (857) 237-2780

Practitioners & affiliated clinicians

Practitioners 1

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": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1952898330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DRYDOCK AVE OFC 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102386",
            "telephone_number": "857-237-2780",
            "fax_number": "617-507-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DRYDOCK AVE OFC 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102386",
            "telephone_number": "857-237-2780",
            "fax_number": "617-507-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS REENTRY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FOUNDER/SUD COUNSELOR",
        "authorized_official_telephone_number": "857-237-2780",
        "authorized_official_credential": "LADC I  14960"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "14960",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "14960",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "14960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.