Organization Active NPI

Tjocelyne Counseling & Consulting LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Brockton, MA
National Provider Identifier
1962014936
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
TJOCELYNE COUNSELING & CONSULTING LLC
Practice address
425 Pleasant St Ste 102
Brockton, MA 02301-2533
Phone
(508) 580-0364
Fax
(888) 506-6021
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Mrs. Tamarra J Aristilde-Calixte, LMFT
Title
Ceo
Phone
(774) 269-2459

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

425 Pleasant St Ste 102
Brockton, MA 02301-2533

Mailing address

425 Pleasant St Ste 102
Brockton, MA 02301-2533
Phone (508) 580-0364

Other names 1

  • TJocelyne Counseling & Consulting Group LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210607001387 MA Part B Supplier - Clinic/Group Practice 1658771068 Receives reassigned benefits from 1 practitioner
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory
Tax ID family
Tamarra Aristilde2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1962014936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST STE 102",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "508-580-0364",
            "fax_number": "888-506-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST STE 102",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "508-580-0364",
            "fax_number": "888-506-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJOCELYNE COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "ARISTILDE-CALIXTE",
        "authorized_official_first_name": "TAMARRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-269-2459",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TJocelyne Counseling & Consulting Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "TJocelyne Counseling & Consulting Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.