Oak Mountain Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OAK MOUNTAIN THERAPY, LLC

Practice address

22 Bayview Ave # 4G
Stonington, CT 06378-1142

Phone

(860) 690-7048

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By 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

Katherine O'LearyNPI 1801296785

Title

Licensed Professional Counselor

Phone

(860) 690-7048

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Katherine O'Leary

  • Mental Health Counselor
  • Stonington, CT
  • NPI 1801296785
  NPD Authorized official
• Cynthia Lassiter, LCSW

  • Clinical Social Worker
  • Putnam, CT
  • NPI 1336881218
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1124781059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BAYVIEW AVE # 4G",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BAYVIEW AVE # 4G",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781142",
            "telephone_number": "860-690-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK MOUNTAIN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-690-7048"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Noonan, LCSW
• Elizabeth Nuesch, RBT
• Michael Patrick O'Brien, MD
• Patrick O'Callahan, M.D.
• Katherine O'Leary
• Oak Mountain Training and Therapy Collective
• Maria Ocallaghan, LMT
• Leslie Ellen Orenstein, MSW
• Raegan McKenzie Parsons, APRN, PMHNP
• Jean B. Peterson, LCSW

• Mental Health Counselor in Stonington, CT
• Providers in Stonington, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.