Organization Active NPI

Pensarc LLC

  • Professional Counselor
  • Riverside, CT
National Provider Identifier
1306653548
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PENSARC LLC
Practice address
23 Miltiades Ave
Riverside, CT 06878-2007
Phone
(203) 918-1070
NPI assigned
Dec 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mrs. Valeria Del Carmen PradoNPI 1417771023
Title
Member
Phone
(203) 918-1070

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

23 Miltiades Ave
Riverside, CT 06878-2007

Mailing address

23 Miltiades Ave
Riverside, CT 06878-2007
Phone (203) 918-1070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1306653548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MILTIADES AVE",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068782007",
            "telephone_number": "203-918-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MILTIADES AVE",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068782007",
            "telephone_number": "203-918-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSARC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_middle_name": "DEL CARMEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-918-1070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.