Active NPI
North Central Connecticut Psychotherapy
- Mental Health Counselor
- Suffield, CT
National Provider Identifier
1053674127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001395
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.