Address: 484 Blue Hill Ave, Boston, MA 02121-3238

KUJICHAGULIA WELLNESS CENTER (NPI# 1295317774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295317774
Entity Type Organization
Practice Address 484 Blue Hill Ave
MA 02121-3238
Practice Telephone 6177925961
Mailing Address 484 Blue Hill Ave
MA 02121-3238
Mailing Telephone 6177925961
Certification Date 2021-04-24
Enumeration Date 2021-04-24
Last Update Date 2021-04-24
Authorized Official Telephone 6177925961
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 104100000X Social Worker 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 484 BLUE HILL AVE
State MA
Zip Code 02121-3238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104370832 Tiffany Cooper Social Worker - Clinical 484 Blue Hill Ave, Boston, MA 02121-3238 2016-08-10

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1295265015 Fadi Amer Farah Dentist 632 Blue Hill Ave, Dorchester, MA 02121 2017-06-14
1619415353 Khisha Gillham Registered Nurse 356 Seaver St, Boston, MA 02121 2017-02-02
1619490331 Rashane Doyle Developmental Therapist 39 Mclellan St, Boston, MA 02121 2017-07-25
1932547353 Chandra C Williams Counselor - Mental Health 504 Dudley Street, Roxbury, MA 02121 2013-06-07
1417502071 Zion Ventures Inc. Registered Nurse 22 Oldfields Road, Apt 1, Boston, MA 02121 2019-08-09
1295806487 Wha-Ja Woo · Wha-Ja W. Fenton Pediatrics 632 Blue Hill Avenue, Dorchester, MA 02121 2006-11-11
1497961171 Norman Henry Beach Counselor - Mental Health 38 Gaston St., Dorchester, MA 02121 2007-05-16
1437281276 Medhealth Inc. & Assoc. Physical Therapist 440 Blue Hill Ave, Dorchester, MA 02121 2007-03-09
1396283149 Spaulding Rehabilitation Unit 356 Sever St, Boston, MA 02121 2017-02-01
1134652175 Sage Family Dental · Sage Family Dental Dentist - General Practice 114 Washington Street, Dorchester, MA 02121 2017-04-06
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124695788 Modern Health Arizona P.l.l.c. Counselor 2 Battery Wharf, Boston, MA 02109-1099 2021-06-10
1992396477 Lisa R Lee Counselor Bay Cove Ucc, 85 E Newton Street, Boston, MA 02118 2021-01-28
1316536865 John Shakin Counselor 9 Lime St, Boston, MA 02108-1102 2021-01-11
1821690900 Jazmin Cole Counselor 110 Hamilton St Apt 3, Boston, MA 02125-2892 2020-11-12
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1598370629 Peaceful Healing Soul Counseling Center, LLC Counselor Online Therapy, Boston, MA 02127 2020-09-15
1578181871 Victor Stewart Counselor 37 Copeland St Apt 3, Boston, MA 02119-2288 2020-07-13
1831712165 Mona Hdeib Counselor 7 Avenue De Lafayette # 120153, Boston, MA 02111-1736 2020-05-21
1316587413 Laurence Phillip Casey Counselor 63 Woolson St Apt 1, Boston, MA 02126-2072 2020-01-07
1487295036 Alisa C. Ritchie Counselor 1 Westinghouse Plz Fl 2, Boston, MA 02136-2075 2019-10-04
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Zip Code 02121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.