Organization Active NPI

Ember and Bloom Counseling

  • Professional Counselor
  • Wallingford, CT
National Provider Identifier
1295560043
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMBER AND BLOOM COUNSELING
Practice address
857 N Main Street Ext Ste 1
Wallingford, CT 06492-2465
Phone
(203) 212-9024
Fax
(203) 718-8474
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Mrs. Sarah Thuerling Jones, LPC
Title
Provider/Owner
Phone
(203) 641-5489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

857 N Main Street Ext Ste 1
Wallingford, CT 06492-2465

Mailing address

16 Bailey Ave
Wallingford, CT 06492-1602
Phone (203) 641-5489

Other practice location 1

16 Bailey Ave
Wallingford, CT 06492-1602
Phone (203) 641-5489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313000818 CT Part B Supplier - Clinic/Group Practice 2567983042 Receives reassigned benefits from 3 practitioners
Practice locations: Wallingford, CT

National Provider Directory

National Provider Directory

Locations

857 N Main Street Ext
Ste 1
Wallingford, CT 06492
Phone (203) 212-9024

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1295560043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BAILEY AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921602",
            "telephone_number": "203-641-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT STE 1",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-212-9024",
            "fax_number": "203-718-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Bailey Ave",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064921602",
            "country_code": "US",
            "telephone_number": "203-641-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMBER AND BLOOM COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "THUERLING",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "203-641-5489",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.