Active NPI
Collaborative Counseling Group
- Marriage & Family Therapist
- Trumbull, CT
National Provider Identifier
1295053098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001290
- Legal business name
- COLLABORATIVE COUNSELING GROUP
- Practice address
- 2 Corporate Dr
Suite 204a
Trumbull, CT 06611-1376 - Phone
- (203) 220-6595
- Fax
- (203) 445-9488
- NPI assigned
- May 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Orakwue, LMFT
- Title
- Co-Owner
- Phone
- (203) 220-6595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001290 | CT | Primary |
Addresses
Primary practice location
2 Corporate Dr
Suite 204a
Trumbull, CT 06611-1376
Mailing address
2 Corporate Dr
Suite 204a
Trumbull, CT 06611-1376
Phone (203) 220-6595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001202181 | Other | CT | MHN |
| 410001290CT04 | Other | CT | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
2 Corporate Dr
Ste 204A
Trumbull, CT 06611
Phone (203) 220-6595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1295053098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CORPORATE DR",
"address_2": "SUITE 204A",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111376",
"telephone_number": "203-220-6595",
"fax_number": "203-445-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CORPORATE DR",
"address_2": "SUITE 204A",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111376",
"telephone_number": "203-220-6595",
"fax_number": "203-445-9488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLABORATIVE COUNSELING GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "ORAKWUE",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "203-220-6595",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "0001202181",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "410001290CT04",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.