Active NPI
Lavender Meadow Psychotherapy Studio
- Mental Health Counselor
- West Hartford, CT
National Provider Identifier
1063142172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LAVENDER MEADOW PSYCHOTHERAPY STUDIO
- Practice address
- 430 New Park Ave Ste 102
West Hartford, CT 06110-1142 - Phone
- (860) 819-1878
- NPI assigned
- Jun 13, 2022
- 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
- Haley Scott
- Title
- Ceo
- Phone
- (860) 819-1878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
430 New Park Ave Ste 102
West Hartford, CT 06110-1142
Mailing address
430 New Park Ave Ste 102
West Hartford, CT 06110-1142
Phone (860) 819-1878
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655078400000",
"number": "1063142172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 NEW PARK AVE STE 102",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101142",
"telephone_number": "860-819-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 NEW PARK AVE STE 102",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101142",
"telephone_number": "860-819-1878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVENDER MEADOW PSYCHOTHERAPY STUDIO",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "HALEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "860-819-1878"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.