Organization Active NPI

Motivating Change Counseling, LLC

  • Professional Counselor
  • Milford, CT
National Provider Identifier
1205446671
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MOTIVATING CHANGE COUNSELING, LLC
Practice address
203 Broad St Unit C-4
Milford, CT 06460-4750
Phone
(203) 290-1623
Fax
(203) 601-7056
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Miss Christina McDonough, LPC, LADCNPI 1689161366
Title
Owner
Phone
(203) 290-1623

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

203 Broad St Unit C-4
Milford, CT 06460-4750

Mailing address

29 Bowe Ave
Stratford, CT 06615-5502
Phone (203) 290-1623

Other practice location 1

29 Bowe Ave
Stratford, CT 06615-5502
Phone (203) 290-1623

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1205446671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BOWE AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155502",
            "telephone_number": "203-290-1623",
            "fax_number": "203-601-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BROAD ST UNIT C-4",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604750",
            "telephone_number": "203-290-1623",
            "fax_number": "203-601-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Bowe Ave",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066155502",
            "country_code": "US",
            "telephone_number": "203-290-1623",
            "fax_number": "203-601-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOTIVATING CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-290-1623",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.