Flowing River Counseling, LLC

Key facts

NPI: 1114663200
Entity type: Organization (NPI type 2)
Primary specialty: Professional Counselor 101YP2500X
Legal business name: FLOWING RIVER COUNSELING, LLC
Practice address: 51 Depot St Ste 202
Watertown, CT 06795-2667
Phone: (860) 506-5200
Fax: (860) 506-5272
NPI assigned: May 11, 2022
Organization subpart: No

Authorized official

Name: Evette Corujo-Aird, LPC
Title: Owner/Founder
Phone: (860) 506-5200

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X
Professional Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YP2500X	Yes
School Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YS0200X

Addresses

Primary practice location

51 Depot St Ste 202
Watertown, CT 06795-2667

Mailing address

51 Depot St Ste 202
Watertown, CT 06795-2667
Phone (860) 506-5200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2022.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1114663200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 DEPOT ST STE 202",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952667",
            "telephone_number": "860-506-5200",
            "fax_number": "860-506-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEPOT ST STE 202",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952667",
            "telephone_number": "860-506-5200",
            "fax_number": "860-506-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWING RIVER COUNSELING, 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": "CORUJO-AIRD",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "860-506-5200",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

All providers in Watertown, CT · Professional Counselor in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.