Organization Active NPI

Key Counseling LLC

  • Mental Health Counselor
  • Branford, CT
National Provider Identifier
1295481158
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1316556239MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@counselorsam.care Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.