Zen Mind & Body LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007982 Issued in CT

Legal business name

ZEN MIND & BODY LLC

Practice address

85 Old Long Ridge Rd
Suite a-5
Stamford, CT 06903-1641

Phone

(203) 722-4405

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Shelley Lee Cooper, LCSWNPI 1427394584

Title

Owner/Clinician

Phone

(203) 722-4405

Specialties & licenses 1

Addresses

Other names 1

• Cooper Counseling & Wellness Former legal business name

Locations

Practitioners 1

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

• Shelley Lee Cooper, LCSW

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1427394584
  NPD (past) Authorized official

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1124410915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD LONG RIDGE RD",
            "address_2": "SUITE A-5",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069031641",
            "telephone_number": "203-722-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD LONG RIDGE RD",
            "address_2": "SUITE A-5",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069031641",
            "telephone_number": "203-722-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN MIND & BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "203-722-4405",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Counseling & Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stacey Lora Zanoni, LCSW
• Guillermo Zapata, D.D.S
• Sara Zarnoch, DPT
• Rebecca Zarrella, LPC
• Xin Zhang Zeck, L.AC
• Fang Zhang, MD
• Kevin Zhang, MD
• Si Zhang, D.O.
• Zheng Zhang
• Wenjun Zhu

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.