Organization Active NPI

Fullcirclecounseling, LLC

  • Clinical Social Worker
  • Littleton, MA
National Provider Identifier
1154649242
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P089760 Issued in MA
Legal business name
FULLCIRCLECOUNSELING, LLC
Practice address
537 King St FL 2
Littleton, MA 01460-1211
Phone
(978) 621-2129
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Ms. Carla M Correa, LICSW
Title
Owner, Psychotherapist
Phone
(978) 621-1197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P089760 MA Primary

Addresses

Primary practice location

537 King St FL 2
Littleton, MA 01460-1211

Mailing address

PO Box 1323
Littleton, MA 01460-4323
Phone (978) 621-1197

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1154649242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1323",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014604323",
            "telephone_number": "978-621-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 KING ST FL 2",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601211",
            "telephone_number": "978-621-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLCIRCLECOUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-621-1197",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "P089760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.