Organization Active NPI

Christina Vandeventer LLC

  • Professional Counselor
  • Glastonbury, CT
National Provider Identifier
1104474881
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHRISTINA VANDEVENTER LLC
Practice address
74 New London Tpke Ste 8
Glastonbury, CT 06033-4204
Phone
(860) 670-5463
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Mrs. Christina Vandeventer, LPCNPI 1255635280
Title
Owner/Psychotherapist
Phone
(860) 670-5463

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

74 New London Tpke Ste 8
Glastonbury, CT 06033-4204

Mailing address

74 New London Tpke Ste 8
Glastonbury, CT 06033-4204
Phone (860) 670-5463

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1104474881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 NEW LONDON TPKE STE 8",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334204",
            "telephone_number": "860-670-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 NEW LONDON TPKE STE 8",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334204",
            "telephone_number": "860-670-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA VANDEVENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "VANDEVENTER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "860-670-5463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.