Organization Active NPI

Simply Graceful Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Hamden, CT
National Provider Identifier
1205582616
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SIMPLY GRACEFUL COUNSELING, LLC
Practice address
125 W Shepard Ave
Hamden, CT 06514-1121
Phone
(860) 740-2790
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Anny SonenarongNPI 1972040392
Title
License Clinical Social Worker
Phone
(203) 535-4109

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

125 W Shepard Ave
Hamden, CT 06514-1121

Mailing address

125 W Shepard Ave
Hamden, CT 06514-1121
Phone (860) 740-2790

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1205582616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W SHEPARD AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141121",
            "telephone_number": "860-740-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W SHEPARD AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141121",
            "telephone_number": "860-740-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY GRACEFUL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "SONENARONG",
        "authorized_official_first_name": "ANNY",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-535-4109"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.