Organization Active NPI

True You LLC

  • Adult Mental Health Clinic/Center
  • New London, CT
National Provider Identifier
1326769712
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRUE YOU LLC
Practice address
300 State St Ste 413C
New London, CT 06320-6115
Phone
(860) 672-5038
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mrs. Sophia Alexis Denniston, LCSWNPI 1780311761
Title
Owner
Phone
(860) 672-5038

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

300 State St Ste 413C
New London, CT 06320-6115

Mailing address

300 State St Ste 413C
New London, CT 06320-6115
Phone (860) 672-5038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107001624 CT Part B Supplier - Clinic/Group Practice 1355718263 Receives reassigned benefits from 1 practitioner
Practice locations: New London, CT

National Provider Directory

National Provider Directory

Locations

300 State St
Ste 413C
New London, CT 06320
Phone (860) 249-1091

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": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1326769712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 413C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206115",
            "telephone_number": "860-672-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 413C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206115",
            "telephone_number": "860-672-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "DENNISTON",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-672-5038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.