Organization Active NPI

Naza Bungu LLC

  • Professional Counselor
  • West Haven, CT
National Provider Identifier
1205481991
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NAZA BUNGU LLC
Practice address
840 Boston Post Rd
West Haven, CT 06516-1847
Phone
(203) 445-6593
NPI assigned
Aug 8, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NAZA BUNGUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Naza BunguNPI 1770881815
Title
Counselor/ Owner
Phone
(203) 848-9350

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 NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

840 Boston Post Rd
West Haven, CT 06516-1847

Mailing address

840 Boston Post Rd Ste 5
West Haven, CT 06516-1848
Phone (203) 445-6593

Other identifiers 1

IdentifierTypeStateIssuer
8045424MedicaidCT

National Provider Directory

National Provider Directory

Locations

57 Plains Rd
Ste 1B
Milford, CT 06461
Phone (203) 400-8607

840 Boston Post Rd
West Haven, CT 06516
Phone (203) 445-6593

840 Boston Post Rd
Ste 5
West Haven, CT 06516
Phone (203) 848-9350

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": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1205481991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 BOSTON POST RD STE 5",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161848",
            "telephone_number": "203-445-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 BOSTON POST RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161847",
            "telephone_number": "203-445-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZA BUNGU LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAZA BUNGU",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BUNGU",
        "authorized_official_first_name": "NAZA",
        "authorized_official_title_or_position": "COUNSELOR/ OWNER",
        "authorized_official_telephone_number": "203-848-9350"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8045424",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.