Our Community Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OUR COMMUNITY COUNSELING LLC

Practice address

30 Hazel Ter Ste J
Woodbridge, CT 06525-2240

Phone

(203) 787-8812

Fax

(203) 367-7721

NPI assigned

Jun 6, 2017

Last updated

May 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shamar J Young, LMSW, LCSWNPI 1760732085

Title

Owner

Phone

(203) 787-8812

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Shamar J. Young, LMSW, LCSW

  • Clinical Social Worker
  • Woodbridge, CT
  • NPI 1760732085
  Medicare reassignment NPD Authorized official
• Dora Lynn Barnes, LPC

  • Professional Counselor
  • Woodbridge, CT
  • NPI 1902578115

  Multi-Specialty

  NPD
• Jennifer Camille Frazier, LMSW

  • Clinical Social Worker
  • Woodbridge, CT
  • NPI 1679385280
  NPD

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1235668096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3301",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065150401",
            "telephone_number": "203-787-8812",
            "fax_number": "203-387-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAZEL TER STE J",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252240",
            "telephone_number": "203-787-8812",
            "fax_number": "203-367-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR COMMUNITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHAMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-787-8812",
        "authorized_official_credential": "LMSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeles E Ocson-Belleza, MD
• Chukwuemeka B. Okwuosa, MA, LADC, ATSA
• Melissa Lynn Olive, PH.D., BCBA-D
• On Duty in-Home Services (On Duty Home Care, LLC)
• Nikkina Marie Osei-Holden, LCSW
• Hyung M Paek, MD
• Sharon G Paley, PH.D.
• Cynthia A Palmisano, PSY.D.
• Caryn Parr, OTR/L
• Pathology & Laboratory Services, LLC

• Clinical Social Worker in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.