Organization Active NPI

Family Care Counseling Center LLC

  • Marriage & Family Therapist
  • West Haven, CT
National Provider Identifier
1093220816
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001036
Legal business name
FAMILY CARE COUNSELING CENTER LLC
Practice address
110 Seaview Ave
West Haven, CT 06516-6846
Phone
(203) 836-6647
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Mrs. Susan Petho, LMFT
Title
Ceo
Phone
(203) 836-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001036 Primary

Addresses

Primary practice location

110 Seaview Ave
West Haven, CT 06516-6846

Mailing address

110 Seaview Ave
West Haven, CT 06516-6846
Phone (203) 836-6647

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1093220816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SEAVIEW AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065166846",
            "telephone_number": "203-836-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SEAVIEW AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065166846",
            "telephone_number": "203-836-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "PETHO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-836-6647",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "001036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.