Active NPI
MPR Counseling, LLC
- Community/Behavioral Health Agency
- Bloomfield, CT
National Provider Identifier
1194448076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MPR COUNSELING, LLC
- Practice address
- 202 Castlewood Dr
Bloomfield, CT 06002-1370 - Phone
- (609) 468-3283
- NPI assigned
- Sep 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maryam Redman, LCSW
- Title
- Owner
- Phone
- (609) 468-3283
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
202 Castlewood Dr
Bloomfield, CT 06002-1370
Mailing address
202 Castlewood Dr
Bloomfield, CT 06002-1370
Phone (609) 468-3283
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bloomfield, CT
- NPI 1780304667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1194448076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CASTLEWOOD DR",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021370",
"telephone_number": "609-468-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CASTLEWOOD DR",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021370",
"telephone_number": "609-468-3283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MPR COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-25",
"status": "A",
"authorized_official_last_name": "REDMAN",
"authorized_official_first_name": "MARYAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-468-3283",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.