Organization Active NPI

Practice the Pause, LLC

  • Clinical Social Worker
  • South Windsor, CT
National Provider Identifier
1225794647
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRACTICE THE PAUSE, LLC
Practice address
1199 Sullivan Ave Ste B
South Windsor, CT 06074-2013
Phone
(844) 697-2873
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Ms. Kristen GoiangosNPI 1639543143
Title
LCSW
Phone
(844) 697-2873

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1199 Sullivan Ave Ste B
South Windsor, CT 06074-2013

Mailing address

1199 Sullivan Ave Ste B
South Windsor, CT 06074-2013

National Provider Directory

National Provider Directory

Locations

1199 Sullivan Ave
Ste B
South Windsor, CT 06074
Phone (844) 697-2873

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": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1225794647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 SULLIVAN AVE STE B",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 SULLIVAN AVE STE B",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742013",
            "telephone_number": "844-697-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE THE PAUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "GOIANGOS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "844-697-2873",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.