Organization Active NPI

Green Oasis Psychotherapy & Wellness, LLC

  • Mental Health Counselor
  • Stoughton, MA
National Provider Identifier
1972146793
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GREEN OASIS PSYCHOTHERAPY & WELLNESS, LLC
Practice address
331 Page St Ste 12C
Stoughton, MA 02072-1172
Phone
(857) 417-5897
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Clayton Belgrave, LMHC
Title
Founder/Owner
Phone
(857) 417-5897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

331 Page St Ste 12C
Stoughton, MA 02072-1172

Mailing address

20 Roche Bros Way Unit 6-357
North Easton, MA 02356-1030

National Provider Directory

National Provider Directory

Locations

20 Roche Bros Way
Unit 6357
North Easton, MA 02356

331 Page St
Ste 12C
Stoughton, MA 02072
Phone (216) 233-7679

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1972146793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROCHE BROS WAY UNIT 6-357",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 PAGE ST STE 12C",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721172",
            "telephone_number": "857-417-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OASIS PSYCHOTHERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "BELGRAVE",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "857-417-5897",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.