Nurtured Mind and Body LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NURTURED MIND AND BODY LLC

Practice address

82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066

Phone

(802) 750-1511

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Marissa Genduso, LMHCNPI 1316405251

Title

Licensed Mental Health Clinician

Phone

(802) 750-1511

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marissa Anne Genduso

  • Mental Health Counselor
  • Newton, MA
  • NPI 1316405251
  NPD Authorized official

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1962210872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WENDELL AVE STE 100",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017066",
            "telephone_number": "802-750-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 WENDELL AVE STE 100",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017066",
            "telephone_number": "802-750-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURED MIND AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "GENDUSO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "802-750-1511",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Noyes, MD
• NP House/Clinic Calls, LLC
• Nuclea Diagnostic Laboratories, LLC
• Jennifer Wolf Nugent, NP-C
• Shavonn C Nunes-Melendez III
• Laura Nylic
• Kyle Marie O'Brien-Asmah, DNP
• James C O'Brien, PA-C
• Leann O'Brien
• Carter O'Driscoll

• Community/Behavioral Health Agency in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.