Counseling Affiliates Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUNSELING AFFILIATES INC

Practice address

300 Hebron Ave
Suite 217
Glastonbury, CT 06033-2176

Phone

(860) 659-2697

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Jack Werboff, PHD

Title

President

Phone

(860) 659-2697

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194769885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVENUE",
            "address_2": "STE 217",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-659-2697",
            "fax_number": "860-659-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE",
            "address_2": "SUITE 217",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332176",
            "telephone_number": "860-659-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AFFILIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERBOFF",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-659-2697",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "246908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Lisa Costerella, M.A., LADC
• Cota Medical Consulting
• Courtney Marie Cotter, PH.D.
• Jill R Cotter, MS, OTR/L
• Wayne H Cotton, D.O
• Counseling Affiliates LLC
• Courageous Counseling LLC
• Christi R. Craig, LCSW
• Steven L Craig, MD
• Kyle Crandall

• Mental Health Counselor in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.