Organization Active NPI

Cultivate & Grow Inc.

  • Professional Counselor
  • New London, CT
National Provider Identifier
1043668320
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2482 Issued in CT
Legal business name
CULTIVATE & GROW INC.
Practice address
302 State St Suite 307
New London, CT 06320
Phone
(860) 639-7728
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Melinda Venett, LPC
Title
Director
Phone
(860) 639-7728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2482 CT Primary

Addresses

Primary practice location

302 State St Suite 307
New London, CT 06320

Mailing address

302 State St Suite 307
New London, CT 06320
Phone (860) 639-7728

National Provider Directory

National Provider Directory

Locations

302 State St
Ste 307
New London, CT 06320
Phone (860) 639-7728

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1043668320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 STATE ST SUITE 307",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-639-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 STATE ST SUITE 307",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-639-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE & GROW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "VENETT",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-639-7728",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.