Organization Active NPI

Procare Counseling CT, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Hartford, CT
National Provider Identifier
1093451148
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PROCARE COUNSELING CT, LLC
Practice address
27 Acton St
Hartford, CT 06120-1802
Phone
(203) 490-8539
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Natacha Jackson, LADCNPI 1285098798
Title
Owner / Ladc
Phone
(203) 490-8539

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

27 Acton St
Hartford, CT 06120-1802

Mailing address

27 Acton St
Hartford, CT 06120-1802
Phone (203) 490-8539

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1093451148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ACTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201802",
            "telephone_number": "203-490-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ACTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201802",
            "telephone_number": "203-490-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE COUNSELING CT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "OWNER / LADC",
        "authorized_official_telephone_number": "203-490-8539",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.