Organization Active NPI

North Central Connecticut Psychotherapy

  • Mental Health Counselor
  • Suffield, CT
National Provider Identifier
1053674127
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001395 Issued in CT
Legal business name
NORTH CENTRAL CONNECTICUT PSYCHOTHERAPY
Practice address
230B Mountain Rd
Suffield, CT 06078-2094
Phone
(413) 478-1764
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Mrs. Amy Cathryn Aliengena, MA, CAGS, LPC, MBA
Title
Licensed Professional Counselor
Phone
(413) 478-1764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 001395 CT Primary

Addresses

Primary practice location

230B Mountain Rd
Suffield, CT 06078-2094

Mailing address

PO Box 574
Suffield, CT 06078-0574
Phone (413) 478-1764

National Provider Directory

National Provider Directory

Locations

230B Mountain Rd
Suffield, CT 06078
Phone (413) 454-5006

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1053674127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060780574",
            "telephone_number": "413-478-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230B MOUNTAIN RD",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782094",
            "telephone_number": "413-478-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL CONNECTICUT PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "ALIENGENA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CATHRYN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "413-478-1764",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CAGS, LPC, MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.