NPIMap

Organization Active NPI

Connecticut Counseling Centers Inc

  • Primary Care Clinic/Center
  • Meriden, CT
National Provider Identifier
1285116707
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0353 Issued in CT
Legal business name
CONNECTICUT COUNSELING CENTERS INC
Practice address
290 Pratt St Ste 2312
Meriden, CT 06450-8600
Phone
(203) 317-2500
Fax
(203) 317-2525
NPI assigned
Aug 31, 2018
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CONNECTICUT COUNSELING CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Jason Bradway
Title
Director Information Systems
Phone
(203) 568-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0353 CT Primary

Addresses

Primary practice location

290 Pratt St Ste 2312
Meriden, CT 06450-8600

Mailing address

50 Brookside Rd
Waterbury, CT 06708-1402
Phone (203) 568-7466

Other identifiers 1

IdentifierTypeStateIssuer
0353OtherCTDEPARTMENT PUBLIC HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Counseling Centers Inc25 organizations share this tax ID, including this one
Part of
Connecticut Counseling Centers Inc

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1285116707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROOKSIDE RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081402",
            "telephone_number": "203-568-7466",
            "fax_number": "203-568-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 PRATT ST STE 2312",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508600",
            "telephone_number": "203-317-2500",
            "fax_number": "203-317-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT COUNSELING CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTICUT COUNSELING CENTERS INC",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "BRADWAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR INFORMATION SYSTEMS",
        "authorized_official_telephone_number": "203-568-7466"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "0353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT PUBLIC HEALTH",
            "identifier": "0353",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.