Active NPI
Grit and Grace Recovery, LLC
- Professional Counselor
- Monroe, CT
National Provider Identifier
1295564748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- GRIT AND GRACE RECOVERY, LLC
- Practice address
- 755 Main St Ste 3
Monroe, CT 06468-2830 - Phone
- (203) 449-7908
- NPI assigned
- Jul 31, 2024
- 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
- Tara E Beall-Gomes, LPC
- Title
- Psychotherapist
- Phone
- (203) 449-7908
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
755 Main St Ste 3
Monroe, CT 06468-2830
Mailing address
169 Turrill Brook Dr
Southbury, CT 06488-1045
Phone (203) 449-7908
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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": "1722384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1295564748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 TURRILL BROOK DR",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064881045",
"telephone_number": "203-449-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MAIN ST STE 3",
"city": "MONROE",
"state": "CT",
"postal_code": "064682830",
"telephone_number": "203-449-7908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIT AND GRACE RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "BEALL-GOMES",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "203-449-7908",
"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 Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.