FAMILY COUNSELING OF NEWINGTON, PLLC (NPI# 1427615053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427615053 |
Entity Type | Organization |
Organization Name | FAMILY COUNSELING OF NEWINGTON, PLLC |
Practice Address |
39 Market Sq Fl 2 Newington CT 06111-2912 |
Practice Telephone | 8608412559 |
Practice Fax Number | 9603713488 |
Mailing Telephone | 8608412559 |
Mailing Fax Number | 9603713488 |
Enumeration Date | 2019-05-20 |
Last Update Date | 2019-05-20 |
Authorized Official Name | MITCHELL KENNETH PAGE (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Telephone | 8608412559 |
Authorized Official Credential | MSW, LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | LCSW | 002042 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | Family Counseling of Newington, Pllc | 39 Market Square, Newington, CT 06111 |
Street Address |
39 MARKET SQ FL 2 |
City | NEWINGTON |
State | CT |
Zip Code | 06111-2912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
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Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
1659892867 | Central Connecticut Therapy Services LLC | Community/Behavioral Health | 100 Market Square, Suite 7, Newington, CT 06111-0611 | 2017-06-28 |
1063022275 | Renaissance Counseling Center, LLC | Community/Behavioral Health | 734 New Britain Ave, Newington, CT 06111-4368 | 2020-08-03 |
1114370566 | The Gemini Project, LLC | Community/Behavioral Health | 705 N Mountain Rd, Newington, CT 06111-1412 | 2016-07-21 |
1013379767 | Courage Counseling Center | Community/Behavioral Health | 1268 Main St Ste 106, Newington, CT 06111-3043 | 2016-03-22 |
1003209115 | Azalea Counseling & Wellness, LLC | Community/Behavioral Health | 100 Market Sq, Suite 16a, Newington, CT 06111-2921 | 2015-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730780818 | Freedom Life Therapy and Wellness, LLC | Community/Behavioral Health | 76 Berkeley Rd, Middletown, CT 06457-4107 | 2020-11-04 |
1336740653 | Personal Growth Services | Community/Behavioral Health | 57 Metacomet Rd, Farmington, CT 06032-1801 | 2020-11-03 |
1164022943 | Now Counseling Services, LLC | Community/Behavioral Health | 178 Temple St Ste 209, New Haven, CT 06510-2601 | 2020-10-29 |
1770182834 | Growth and Development LLC | Community/Behavioral Health | C/o Humanly, 1200 High Ridge Rd Ste 208, Stamford, CT 06905-1202 | 2020-10-20 |
1972101319 | Lorraine Kenowski Ma Lpc Pllc | Community/Behavioral Health | 17 Buckingham Rd, Mansfield Center, CT 06250-1404 | 2020-10-16 |
1104424464 | Cbl II, LLC | Community/Behavioral Health | 163 Robin Dr, Collinsville, CT 06019-3730 | 2020-10-09 |
1215534953 | Susan P Dunko Ms Lpc LLC | Community/Behavioral Health | 17 Hickory Hill Dr, Andover, CT 06232-1013 | 2020-10-06 |
1356956528 | Anchor Wellness LLC | Community/Behavioral Health | 22 N High St, Clinton, CT 06413-1731 | 2020-09-14 |
1265046106 | Katherine Agel | Community/Behavioral Health | 380 Mather St Apt 4011, Hamden, CT 06514-3159 | 2020-09-08 |
1316551104 | Resilient Spirit Psychotherapy LLC | Community/Behavioral Health | 26 Tarragon Dr, East Hampton, CT 06424-1755 | 2020-08-31 |
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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.