Active NPI
Synergy Counseling Collaborative, LLC
- Community/Behavioral Health Agency
- Milford, MA
National Provider Identifier
1003143025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 114750
- Legal business name
- SYNERGY COUNSELING COLLABORATIVE, LLC
- Practice address
- 288 West St
Suite 3B
Milford, MA 01757-1247 - Phone
- (508) 422-0258
- Fax
- (508) 422-0261
- NPI assigned
- Nov 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carla R. Kessel, LICSW
- Title
- Owner
- Phone
- (508) 422-0258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 114750 | MA | Primary |
Addresses
Primary practice location
288 West St
Suite 3B
Milford, MA 01757-1247
Mailing address
288 West St
Suite 3B
Milford, MA 01757-1247
Phone (508) 422-0258
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257984000000",
"number": "1003143025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 WEST ST",
"address_2": "SUITE 3B",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571247",
"telephone_number": "508-422-0258",
"fax_number": "508-422-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 WEST ST",
"address_2": "SUITE 3B",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571247",
"telephone_number": "508-422-0258",
"fax_number": "508-422-0261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY COUNSELING COLLABORATIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-12",
"last_updated": "2009-11-12",
"status": "A",
"authorized_official_last_name": "KESSEL",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-422-0258",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": "114750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.