JGB Professional Counseling, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3519 Issued in CT

Legal business name

JGB PROFESSIONAL COUNSELING, LLC

Practice address

87 S Main St Ste 14
Newtown, CT 06470-2315

Phone

(203) 666-1605

Fax

(475) 323-2144

NPI assigned

Nov 30, 2017

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph G Benner, LPC, LADCNPI 1104358738

Title

Owner

Phone

(203) 666-1605

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Benner, LPC, LADC

  • Counselor
  • Newtown, CT
  • NPI 1104358738
  NPD Authorized official

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1306350228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 JACQUELINE DR",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882354",
            "telephone_number": "203-666-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S MAIN ST STE 14",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702315",
            "telephone_number": "203-666-1605",
            "fax_number": "475-323-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGB PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-666-1605",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "3519",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1234",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Jablonski Carty, OTR L BCP
• Kristina Rose Jamo Morais, PT, DPT
• Suhae Jang, DDS
• Aimee Jaquez, PAC
• Jeffrey P. Friedman MD
• John a Dudley DMD and Deider M Condon DMD LLC
• Joshua E. Baum, DMD
• Sarah Katrulya, LCSW
• Andrea Jean Kaufmann, PA
• Anne-Marie Keegan, LICSW

• Counselor in Newtown, CT
• Providers in Newtown, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.