Art and Soul Art Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003496 Issued in CT

Legal business name

ART AND SOUL ART THERAPY, LLC

Practice address

149 Durham Rd
Madison, CT 06443-2677

Phone

(203) 350-3717

NPI assigned

Jul 19, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Briana Benn-Mirandi, LPCNPI 1497231757

Title

Owner

Phone

(203) 350-3717

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Briana Benn-Mirandi, LPC

  • Professional Counselor
  • Madison, CT
  • NPI 1497231757
  NPD Authorized official
• Ciara Alford, LMFT

  • Marriage & Family Therapist
  • Madison, CT
  • NPI 1811876774
  NPD
• Sarah Kate Ferrigno

  • Marriage & Family Therapist
  • Madison, CT
  • NPI 1679215594
  NPD
• Daniel Mirandi, MS, NCC, LPC

  • Professional Counselor
  • West Haven, CT
  • NPI 1235400979
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1124505425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 DURHAM RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432454",
            "telephone_number": "203-350-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DURHAM RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432677",
            "telephone_number": "203-350-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART AND SOUL ART THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BENN-MIRANDI",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-350-3717",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Madison, CT
• Providers in Madison, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.