Organization Active NPI

Healthyself Counseling LLC

  • Professional Counselor
  • Shelton, CT
National Provider Identifier
1124696547
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEALTHYSELF COUNSELING LLC
Practice address
494 Bridgeport Ave
Unit 101 PMB 310
Shelton, CT 06484
Phone
(203) 450-4558
NPI assigned
Jun 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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

Authorized official

Name
Vanessa Jaunai, LPCNPI 1619432267
Title
Owner
Phone
(203) 984-9078

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

494 Bridgeport Ave
Unit 101 PMB 310
Shelton, CT 06484

Mailing address

494 Bridgeport Ave
Unit 101 PMB 310
Shelton, CT 06484
Phone (203) 450-4558

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice

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": "1623542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623542400000",
    "number": "1124696547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 BRIDGEPORT AVE",
            "address_2": "UNIT 101 PMB 310",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-450-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 BRIDGEPORT AVE",
            "address_2": "UNIT 101 PMB 310",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-450-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYSELF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A",
        "authorized_official_last_name": "JAUNAI",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-984-9078",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "494 Bridgeport Avenue",
            "address_2": "Ste 101 PMB 310",
            "city": "Shelton",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.