Organization Active NPI

Hope & Resiliency Counseling LLC

  • Clinical Social Worker
  • Groton, CT
National Provider Identifier
1013547694
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOPE & RESILIENCY COUNSELING LLC
Practice address
428 Long Hill Rd Ste 201
Groton, CT 06340-3811
Phone
(860) 333-8765
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Terri Fogg Donovan, LCSW
Title
Office Manager
Phone
(860) 535-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

428 Long Hill Rd Ste 201
Groton, CT 06340-3811

Mailing address

24 Campbell Dr
Canterbury, CT 06331-1807
Phone (860) 333-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200304002750 CT Part B Supplier - Clinic/Group Practice 6608203518 Receives reassigned benefits from 1 practitioner
Practice locations: Groton, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1013547694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CAMPBELL DR",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311807",
            "telephone_number": "860-333-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 LONG HILL RD STE 201",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403811",
            "telephone_number": "860-333-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE & RESILIENCY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "FOGG DONOVAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-535-9922",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.