Organization Active NPI

Covenant Family Services

  • Marriage & Family Therapist
  • Milford, CT
National Provider Identifier
1134478357
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COVENANT FAMILY SERVICES
Practice address
550 New Haven Ave
Milford, CT 06460-3618
Phone
(203) 446-1848
Fax
(203) 283-7714
NPI assigned
Sep 4, 2012
Last updated
Sep 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Mr. Marcel W Slowly, LMFTNPI 1861741050
Title
Proprietor
Phone
(203) 906-5161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CT
Clinical Social Worker 1041C0700X 007373 CT
Marriage & Family Therapist 106H00000X NU Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 00004798 CT
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

550 New Haven Ave
Milford, CT 06460-3618

Mailing address

550 New Haven Ave
Milford, CT 06460-3618
Phone (203) 448-1848

National Provider Directory

National Provider Directory

Locations

550 New Haven Ave
Milford, CT 06460
Phone (203) 446-1848

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1134478357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEW HAVEN AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603618",
            "telephone_number": "203-448-1848",
            "fax_number": "203-283-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEW HAVEN AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603618",
            "telephone_number": "203-446-1848",
            "fax_number": "203-283-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "SLOWLY",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "203-906-5161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007373",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "00004798",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.