Active NPI
Key Counseling LLC
- Mental Health Counselor
- Branford, CT
National Provider Identifier
1295481158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KEY COUNSELING LLC
- Practice address
- 764 E Main St Apt B
Branford, CT 06405-2921 - Phone
- (203) 499-7348
- Fax
- (833) 301-2087
- NPI assigned
- Mar 1, 2022
- Last updated
- Mar 1, 2022
- 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
- Ms. Samantha Pelkey-Flock, LPC
- Title
- Licensed Professional Counselor
- Phone
- (203) 499-7348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
764 E Main St Apt B
Branford, CT 06405-2921
Mailing address
PO Box 2305
Middletown, CT 06457-0033
Phone (203) 499-7348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316556239 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@counselorsam.care | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1295481158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2305",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064570033",
"telephone_number": "203-499-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 E MAIN ST APT B",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064052921",
"telephone_number": "203-499-7348",
"fax_number": "833-301-2087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "PELKEY-FLOCK",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "203-499-7348",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316556239",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@counselorsam.care",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "764 E Main St Apt B",
"city": "Branford",
"state": "CT",
"country_code": "US",
"postal_code": "064052921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.