Organization Active NPI

Growing Potential Services:Therapeutic and Behavioral Solutions, PC

  • Community/Behavioral Health Agency
  • Enfield, CT
National Provider Identifier
1336588607
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2378 Issued in CT
Legal business name
GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC
Practice address
25 High St
Enfield, CT 06082
Phone
(606) 986-0778
Fax
(860) 698-6631
NPI assigned
Jun 20, 2013
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Marcy Taliceo, LPC, LMHCNPI 1114216223
Title
Clinical Director
Phone
(860) 698-6077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2378 CT Primary
Community/Behavioral Health Agency 251S00000X 8146 MA

Addresses

Primary practice location

25 High St
Enfield, CT 06082

Mailing address

25 High St
Enfield, CT 06082-3410
Phone (860) 698-6077

National Provider Directory

National Provider Directory

Locations

25 High St
Enfield, CT 06082
Phone (606) 986-0778

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1336588607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGH ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823410",
            "telephone_number": "860-698-6077",
            "fax_number": "860-698-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGH ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "606-986-0778",
            "fax_number": "860-698-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TALICEO",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "860-698-6077",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "2378",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "8146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.