NPIMap

Organization Active NPI

Franciscan Life Center Network, Incorporated

  • Mental Health Counselor
  • Meriden, CT
National Provider Identifier
1114950243
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C-0211 Issued in CT
Legal business name
FRANCISCAN LIFE CENTER NETWORK, INCORPORATED
Practice address
271 Finch Ave
Meriden, CT 06451-2715
Phone
(203) 237-8084
Fax
(203) 639-1333
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Barbara A. Johnson, LMFTNPI 1518971043
Title
Executive Director
Phone
(203) 237-8084

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C-0211 CT Primary

Addresses

Primary practice location

271 Finch Ave
Meriden, CT 06451-2715

Mailing address

271 Finch Ave
Meriden, CT 06451-2715
Phone (203) 237-8084

Other identifiers 1

IdentifierTypeStateIssuer
004160941MedicaidCT

Other names 1

  • Franciscan Life Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Life Center Network Incorporated9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

271 Finch Ave
Meriden, CT 06451
Phone (203) 237-8084

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1114950243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-237-8084",
            "fax_number": "203-639-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-237-8084",
            "fax_number": "203-639-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN LIFE CENTER NETWORK, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-237-8084",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "C-0211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004160941",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.