A.S.C. Clinical, Coaching & Connections Services, LLC

Key facts

NPI

1003467580

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

A.S.C. CLINICAL, COACHING & CONNECTIONS SERVICES, LLC

Practice address

14 Kelly Rd
Hamden, CT 06518-2022

Phone

(203) 433-2256

NPI assigned

Sep 25, 2019

Organization subpart

No

Authorized official

Name

April N Smoke-Collins, LPC NPI 1083932735

Title

Owner

Phone

(203) 433-2256

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• April N Smoke-Collins, L.P.C Professional Counselor · New Haven, CT · NPI 1083932735
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2019.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1003467580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KELLY RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182022",
            "telephone_number": "203-433-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KELLY RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182022",
            "telephone_number": "203-433-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.S.C. CLINICAL, COACHING & CONNECTIONS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "SMOKE-COLLINS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-433-2256",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083932735",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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