NPIMap

Organization Active NPI

Estuary Counseling LLC

  • Clinical Social Worker
  • Old Saybrook, CT
National Provider Identifier
1235402744
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005545 Issued in CT
Legal business name
ESTUARY COUNSELING LLC
Practice address
35 Edmund St
Suite a
Old Saybrook, CT 06475-2422
Phone
(860) 304-1442
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Mr. Paige Plyer Sr.
Title
Manager
Phone
(860) 853-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 005545 CT Primary

Addresses

Primary practice location

35 Edmund St
Suite a
Old Saybrook, CT 06475-2422

Mailing address

35 Edmund St
Suite a
Old Saybrook, CT 06475-2422
Phone (860) 304-1442

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": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1235402744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EDMUND ST",
            "address_2": "SUITE A",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752422",
            "telephone_number": "860-304-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EDMUND ST",
            "address_2": "SUITE A",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752422",
            "telephone_number": "860-304-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTUARY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "PLYER",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-853-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.