Organization Active NPI

Summit Wellness Counseling LLC

  • Professional Counselor
  • West Hartford, CT
National Provider Identifier
1174253751
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUMMIT WELLNESS COUNSELING LLC
Practice address
41 S Main St Ste 204
West Hartford, CT 06107-2448
Phone
(860) 831-4742
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Emma Durao, MA, LPCNPI 1689303463
Title
Co-Owner
Phone
(860) 214-3521

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

41 S Main St Ste 204
West Hartford, CT 06107-2448

Mailing address

41 S Main St Ste 204
West Hartford, CT 06107-2448
Phone (860) 831-4742

National Provider Directory

National Provider Directory

Locations

41 S Main St
Ste 204
West Hartford, CT 06107
Phone (860) 214-3521

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": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1174253751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST STE 204",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072448",
            "telephone_number": "860-831-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST STE 204",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072448",
            "telephone_number": "860-831-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "DURAO",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "860-214-3521",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.