Organization Active NPI

Synergy Counseling Collaborative, LLC

  • Community/Behavioral Health Agency
  • Milford, MA
National Provider Identifier
1003143025
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
114750 Issued in MA
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

Updated by the provider on Nov 12, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.