Organization Active NPI

Counseling Center of Monroe, LLC

  • Clinical Social Worker
  • Monroe, CT
National Provider Identifier
1225424336
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006648 Issued in CT
Legal business name
COUNSELING CENTER OF MONROE, LLC
Practice address
477 Main St
Suite 208
Monroe, CT 06468-1139
Phone
(203) 268-1390
Fax
(203) 220-2247
NPI assigned
Apr 15, 2015
Last updated
May 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Ms. Deborah A Sakal, LCSWNPI 1437490067
Title
Owner/Sole Provider
Phone
(203) 268-1390

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
Clinical Social Worker 1041C0700X 006648 CT Primary

Addresses

Primary practice location

477 Main St
Suite 208
Monroe, CT 06468-1139

Mailing address

PO Box 122
Monroe, CT 06468-0122
Phone (203) 268-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423001135 CT Part B Supplier - Clinic/Group Practice 8123458650 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, CT

National Provider Directory

National Provider Directory

Locations

477 Main St
Ste 208
Monroe, CT 06468
Phone (203) 220-2208

Practitioners & affiliated clinicians

Practitioners 2

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": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1225424336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064680122",
            "telephone_number": "203-268-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 MAIN ST",
            "address_2": "SUITE 208",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681139",
            "telephone_number": "203-268-1390",
            "fax_number": "203-220-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF MONROE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "SAKAL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/SOLE PROVIDER",
        "authorized_official_telephone_number": "203-268-1390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.