Active NPI
Cultivate & Grow Inc.
- Professional Counselor
- New London, CT
National Provider Identifier
1043668320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2482
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.