MODERN SOUL THERAPY LLC
NPI 1013516145
Counselor - Mental Health in Quincy, MA

Q: What is Modern Soul Therapy LLC's NPI number?

The NPI number for Modern Soul Therapy LLC is 1013516145. It was assigned to this organization in the NPPES registry on October 20, 2020.

Q: What is Modern Soul Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 20, 2020

120 WHITWELL ST UNIT D-106, QUINCY, MA 02169(740) 408-6407 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2025, Oct 20, 2020 (2 updates tracked since 2020).

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About Modern Soul Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN SOUL THERAPY LLC (NPI 1013516145) is a healthcare organization registered as a mental health in Quincy, Massachusetts and active in the NPI registry since October 2020. The organization lists Mallory A Ingram, Owner, as its authorized official.

NPPES Registry Identity

NPI1013516145

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameMODERN SOUL THERAPY LLC

Location Address120 WHITWELL ST UNIT D-106Quincy, MA 02169-1998

Mailing Address120 Whitwell St Unit D-106Quincy, MA 02169-1998 · (740) 408-6407

Phone(740) 408-6407

Organization SubpartNo

Authorized OfficialMallory A IngramOwner · (740) 408-6407

Enumeration DateOctober 20, 2020

Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1013516145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

120 WHITWELL ST UNIT D-106, Quincy, MA 02169

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Other Identifiers 1

Other09322531Private Insurance

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Soul Therapy LLC's NPI number?

The NPI number for Modern Soul Therapy LLC is 1013516145. It was assigned to this organization in the NPPES registry on October 20, 2020.

Where is Modern Soul Therapy LLC located?

Modern Soul Therapy LLC is located at 120 Whitwell St Unit D-106, Quincy, MA 02169. The listed phone number is (740) 408-6407.

What is Modern Soul Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Modern Soul Therapy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Modern Soul Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Soul Therapy LLC was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.