Simsbury Counseling Center PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SIMSBURY COUNSELING CENTER PLLC

Practice address

1 Mill Pond Lane Suite 9
Simsbury, CT 06070-2485

Phone

(860) 952-3100

NPI assigned

Mar 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Mowry, LCSW

Title

Owner

Phone

(860) 918-2678

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1003376096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL POND LANE SUITE 9",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702485",
            "telephone_number": "860-918-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL POND LANE SUITE 9",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702485",
            "telephone_number": "860-952-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMSBURY COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "MOWRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-918-2678",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "006042",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004263787",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Shea, PA-C
• Deborah Shenton, DPT
• Jessica Shore
• Olga Shutov, PHARM.D.
• Spencer Simmons, DPT
• Simsbury Family Chiropractic Center
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• Simsbury Orthodontics LLC
• Simsbury Psychotherapy, LLC
• Simsbury Public Schools

• Clinical Social Worker in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.