Authentic Recovery, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

AUTHENTIC RECOVERY, LLC

Practice address

1 Carriage PL
Suite 4
Waterbury, CT 06702-2108

Phone

(860) 805-2267

NPI assigned

Jul 7, 2014

Last updated

Jan 12, 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

Mr. John W Simoncelli, L.A.D.C., M.S.W.NPI 1437586732

Title

Executive Director

Phone

(860) 805-2267

Specialties & licenses 7

Addresses

Other identifiers 1

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.

• John Wedge Simoncelli, L.C.S.W, L.A.D.C

  • Clinical Social Worker
  • Litchfield, CT
  • NPI 1437586732

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Joanna Grace Szymanski

  • Professional Counselor
  • Waterbury, CT
  • NPI 1275008575
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1285040675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SAW MILL RD",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067592001",
            "telephone_number": "860-805-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE PL",
            "address_2": "SUITE 4",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022108",
            "telephone_number": "860-805-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "SIMONCELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-805-2267",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.A.D.C., M.S.W."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008047242",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark William Augustine, LMFT
• Michael Augustine, LMFT
• Karanbeer Singh Aulakh, DMD
• Aurora Senior Living of Buck Hill, LLC (Waterbury Healthcare and Rehabilitation Center)
• Richard T. Aust, R.PH.
• Nicole Aviles, ND
• Briana Rose Avitable
• Brooj Awan
• Olubukola Awe, NP
• Oluwadare Olanipekun Awolola, CNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.