Organization Active NPI

Santuary Ministries, LLC

  • Community/Behavioral Health Agency
  • Wethersfield, CT
National Provider Identifier
1053608000
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001389 Issued in CT
Legal business name
SANTUARY MINISTRIES, LLC
Practice address
943 Silas Deane Hwy
Wethersfield, CT 06109-4270
Phone
(860) 655-8858
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Ms. Mary E. Stewart, LMFT
Title
Marriage and Family Therapist/Owner
Phone
(860) 655-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001389 CT Primary

Addresses

Primary practice location

943 Silas Deane Hwy
Wethersfield, CT 06109-4270

Mailing address

943 Silas Deane Hwy
Wethersfield, CT 06109-4270
Phone (860) 655-8858

Other identifiers 1

IdentifierTypeStateIssuer
001389OtherCTMARRIAGE AND FAMILY THERAPIST

Other names 1

  • Restoration Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

943 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 655-8858

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1053608000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094270",
            "telephone_number": "860-655-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094270",
            "telephone_number": "860-655-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTUARY MINISTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST/OWNER",
        "authorized_official_telephone_number": "860-655-8858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST",
            "identifier": "001389",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.