Cultivating Change Counseling Services, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CULTIVATING CHANGE COUNSELING SERVICES, LLC

Practice address

392 Merrow Rd Ste B
Tolland, CT 06084-3974

Phone

(860) 965-2443

NPI assigned

Mar 9, 2014

Last updated

Apr 2, 2015By 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

Christine Brenton, LPC, LADC

Title

Clinician/Manager

Phone

(860) 965-2443

Specialties & licenses 5

Addresses

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.

• Devon Briem

  • Addiction (Substance Use Disorder) Counselor
  • Tolland, CT
  • NPI 1720483068
  NPD (past)
• Barbara Harrison, LCSW

  • Clinical Social Worker
  • Tolland, CT
  • NPI 1750775573
  NPD (past)

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

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1275959769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLORIA LN",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292609",
            "telephone_number": "860-965-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 MERROW RD STE B",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843974",
            "telephone_number": "860-965-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING CHANGE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "BRENTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CLINICIAN/MANAGER",
        "authorized_official_telephone_number": "860-965-2443",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000964",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002338",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6217",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Tolland, CT
• Providers in Tolland, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.