Organization Active NPI

Safe Passages LLC

  • Mental Health Counselor
  • Newington, CT
National Provider Identifier
1073169355
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAFE PASSAGES LLC
Practice address
50 Market SQ Ste 2
Newington, CT 06111-2934
Phone
(860) 985-3801
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Nilsa I Rivera, LCSW, LADC
Title
Clinician
Phone
(860) 597-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

50 Market SQ Ste 2
Newington, CT 06111-2934

Mailing address

50 Market SQ Ste 2
Newington, CT 06111-2934
Phone (860) 597-8680

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SafePassageLLC@gmail.com

National Provider Directory

National Provider Directory

Locations

151 New Park Ave
Unit 40
Hartford, CT 06106

50 Market Sq
Ste 2
Newington, CT 06111
Phone (860) 985-3801

Practitioners & 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": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1073169355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARKET SQ STE 2",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112934",
            "telephone_number": "860-597-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MARKET SQ STE 2",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112934",
            "telephone_number": "860-985-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE PASSAGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "NILSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "860-597-8680",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SafePassageLLC@gmail.com",
            "affiliation": "N",
            "address_1": "50 Market Sq Ste 2",
            "city": "Newington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061112934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.