Organization Active NPI

Collaborative Counseling LLC

  • Marriage & Family Therapist
  • Wolcott, CT
National Provider Identifier
1225358963
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COLLABORATIVE COUNSELING LLC
Practice address
246 Wolcott Rd.
Wolcott, CT 06716
Phone
(203) 879-4424
Fax
(203) 879-4442
NPI assigned
Jun 4, 2010
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Ms. Lori B Kuntz, LMFTNPI 1891139671
Title
Owner/Therapist
Phone
(860) 977-7260

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

246 Wolcott Rd.
Wolcott, CT 06716

Mailing address

PO Box 453 Bristol, CT 06011
Bristol, CT 06011
Phone (203) 879-4424

Other identifiers 1

IdentifierTypeStateIssuer
1811020217OtherCTNPI

National Provider Directory

National Provider Directory
Tax ID family
Collaborative Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1495 Wolcott Rd
Wolcott, CT 06716
Phone (203) 879-4424

Practitioners & affiliated clinicians

Practitioners 3

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": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1225358963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453 BRISTOL, CT 06011",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06011",
            "telephone_number": "203-879-4424",
            "fax_number": "203-879-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 WOLCOTT RD.",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "06716",
            "telephone_number": "203-879-4424",
            "fax_number": "203-879-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "860-977-7260",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811020217",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.