WHITLEY WELLNESS LLC
NPI 1205298148
Community/Behavioral Health in Charlestown, MA

Active since March 21, 2016
8 SHIPWAY PL # C-8, CHARLESTOWN, MA 02129(325) 439-9799(617) 987-9739 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2018, Mar 21, 2016 (2 updates tracked since 2016).

About Whitley Wellness Llc NPPES

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

WHITLEY WELLNESS LLC (NPI 1205298148) is a healthcare organization registered as a community/behavioral health in Charlestown, Massachusetts and active in the NPI registry since March 2016. The organization lists Geoffrey Whitley, Owner, as its authorized official.

NPPES Registry Identity

NPI1205298148
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWHITLEY WELLNESS LLC
Location Address8 SHIPWAY PL # C-8Charlestown, MA 02129-4301
Mailing Address8 Shipway Pl # C-8Charlestown, MA 02129-4301 · (325) 439-9799
Fax(617) 987-9739
Organization SubpartNo
Authorized OfficialGeoffrey WhitleyOwner · (617) 620-9757
Enumeration DateMarch 21, 2016
Last NPPES UpdateMarch 19, 20182 updates tracked since enumeration
✔ NPI 1205298148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License RN2267850 (MA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X · License RN2267850 (MA)
Also ListedMassage TherapistTaxonomy 225700000X · License 1099 (MA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2267850 (MA)
8 SHIPWAY PL # C-8, Charlestown, MA 02129

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitley Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Whitley Wellness LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1083994404
C8 SHIPWAY PL
Charlestown, MA 02129
(325) 439-9799
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1629776026
175 PORTLAND ST
Boston, MA 02114
(508) 474-9247
✔ PECOS1.3 mi
Nurse Practitioner
NPI 1326749730
175 PORTLAND ST FL 3
Boston, MA 02114
(857) 327-7720
✔ PECOS1.3 mi
Nurse Practitioner
NPI 1538875356
175 PORTLAND ST FL 3
Boston, MA 02114
(857) 327-7729
✔ PECOS1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Whitley Wellness LLC's NPI number?

The NPI number for Whitley Wellness LLC is 1205298148. It was assigned to this organization in the NPPES registry on March 21, 2016.

Where is Whitley Wellness LLC located?

Whitley Wellness LLC is located at 8 Shipway Pl # C-8, Charlestown, MA 02129. The listed phone number is (325) 439-9799.

What is Whitley Wellness LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Whitley Wellness LLC enrolled in Medicare?

Yes. Whitley Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Whitley Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Whitley Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Whitley Wellness LLC was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.