Connected Communities Counseling, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CONNECTED COMMUNITIES COUNSELING, LLC

Practice address

2654 Valley Ave Ste G-1
Winchester, VA 22601-2661

Phone

(540) 931-1335

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Tavan Mair

Title

Owner

Phone

(540) 227-4948

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1245070952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 VALLEY AVE STE G-1",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 VALLEY AVE STE G-1",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012661",
            "telephone_number": "540-931-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED COMMUNITIES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "TAVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-227-4948"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.