Organization Active NPI

Coreworks, Counseling for Couples and Individuals LLC

  • Marriage & Family Therapist
  • Lebanon, CT
National Provider Identifier
1164182721
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COREWORKS, COUNSELING FOR COUPLES AND INDIVIDUALS LLC
Practice address
424 Deepwood Dr
Lebanon, CT 06249-2145
Phone
(860) 468-5353
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Authorized official

Name
Krista A Billard, LMFTNPI 1710555214
Title
Marriage and Family Therapist
Phone
(860) 416-5711

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

424 Deepwood Dr
Lebanon, CT 06249-2145

Mailing address

424 Deepwood Dr
Lebanon, CT 06249-2145
Phone (860) 416-5711

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": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1164182721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 DEEPWOOD DR",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062492145",
            "telephone_number": "860-416-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DEEPWOOD DR",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062492145",
            "telephone_number": "860-468-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREWORKS, COUNSELING FOR COUPLES AND INDIVIDUALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "BILLARD",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-416-5711",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.