COLLABORATIVE COUNSELING GROUP (NPI# 1295053098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295053098 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE COUNSELING GROUP |
| Practice Address |
2 Corporate Dr Suite 204a Trumbull CT 06611-1376 |
| Practice Telephone | 2032206595 |
| Practice Fax Number | 2034459488 |
| Mailing Telephone | 2032206595 |
| Mailing Fax Number | 2034459488 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | KRISTEN ORAKWUE (CO-OWNER) |
| Authorized Official Telephone | 2032206595 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001290 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM | 410001290CT04 | 01 |
| CT | MHN | 0001202181 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962915579 | Collaborative Counseling Group | Community/Behavioral Health | 208 N Mulberry St, Elizabethtown, KY 42701-1464 | 2017-11-06 |
| Street Address |
2 CORPORATE DR SUITE 204A |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-1376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865990 | Susan Sherrick Counseling, LLC | Community/Behavioral Health | 2 Corporate Dr, Trumbull, CT 06611-1376 | 2017-11-20 |
| 1437695871 | Bernadette Marie Griffen | Counselor | 2 Corporate Dr, Suite 209, Trumbull, CT 06611-1376 | 2017-01-10 |
| 1427501717 | Emily Longo, LLC | Marriage & Family Therapist | 2 Corporate Dr, Suite 211, Trumbull, CT 06611-1376 | 2016-08-03 |
| 1588038202 | Complete Counseling Group LLC | Counselor | 2 Corporate Dr, Suite 209, Trumbull, CT 06611-1376 | 2015-11-18 |
| 1679978381 | Emily Longo | Marriage & Family Therapist | 2 Corporate Dr, Suite 211, Trumbull, CT 06611-1376 | 2014-10-24 |
| 1114327756 | Amanda Manuel | Counselor | 2 Corporate Dr, Suite Number 209, Trumbull, CT 06611-1376 | 2014-09-02 |
| 1356780688 | Daniel J Zaffetti | Dentist | 2 Corporate Dr, Trumbull, CT 06611-1376 | 2013-06-20 |
| 1881932945 | Steven Thornquist, Md, LLC | Ophthalmology | 2 Corporate Dr, Suite 112, Trumbull, CT 06611-1376 | 2013-01-24 |
| 1437477205 | Ruo Hong Zhai | Dentist | 2 Corporate Dr, Suite 101, Trumbull, CT 06611-1376 | 2010-05-04 |
| 1891023438 | Virginia Williamson | Marriage & Family Therapist | 2 Corporate Dr, Suite 211, Trumbull, CT 06611-1376 | 2009-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619161676 | Jason Black | Marriage & Family Therapist | 487 Church Hill Rd Fl 2, Trumbull, CT 06611-3838 | 2007-09-04 |
| 1629283221 | Melissa Layne Thornton | Marriage & Family Therapist | 5 Poplar St, Trumbull, CT 06611-3034 | 2007-05-14 |
| 1588735054 | Audrey Bernstein | Marriage & Family Therapist | 232 Fitch's Pass, Trumbull, CT 06611-5602 | 2006-11-13 |
| 1508330564 | Samantha Lee Trayer | Marriage & Family Therapist | 2 Corporate Dr Ste 211, Trumbull, CT 06611-1376 | 2019-01-13 |
| 1427501717 | Emily Longo, LLC | Marriage & Family Therapist | 2 Corporate Dr, Suite 211, Trumbull, CT 06611-1376 | 2016-08-03 |
| 1336531219 | Desiree Scime,lmft,ladc, LLC | Marriage & Family Therapist | 572 White Plains Rd, Trumbull, CT 06611-4860 | 2015-03-02 |
| 1679978381 | Emily Longo | Marriage & Family Therapist | 2 Corporate Dr, Suite 211, Trumbull, CT 06611-1376 | 2014-10-24 |
| 1407279409 | Dianna Zaffina Lmft,llc | Marriage & Family Therapist | 940 White Plains Rd, Ste 301, Trumbull, CT 06611-4588 | 2014-01-27 |
| 1679843692 | Dianna Zaffina | Marriage & Family Therapist | 940 White Plains Rd, Trumbull, CT 06611-4588 | 2012-01-06 |
| 1891023438 | Virginia Williamson | Marriage & Family Therapist | 2 Corporate Dr, Suite 211, Trumbull, CT 06611-1376 | 2009-11-19 |
| Find all providers in TRUMBULL | ||||
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| 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.