Organization Active NPI

Holistic Counseling Services, LLC

  • Mental Health Counselor
  • Milford, CT
National Provider Identifier
1346697224
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2050 Issued in CT
Legal business name
HOLISTIC COUNSELING SERVICES, LLC
Practice address
663 West Ave Apt 24
Milford, CT 06461-3062
Phone
(203) 240-9476
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Ms. Megan Tredennick, LPC, LADC, ADS
Title
Member
Phone
(203) 240-9476

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1105 CT
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2050 CT Primary

Addresses

Primary practice location

663 West Ave Apt 24
Milford, CT 06461-3062

Mailing address

663 West Ave Apt 24
Milford, CT 06461-3062
Phone (203) 240-9476

Other identifiers 1

IdentifierTypeStateIssuer
004040655MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1346697224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 WEST AVE APT 24",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064613062",
            "telephone_number": "203-240-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 WEST AVE APT 24",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064613062",
            "telephone_number": "203-240-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "TREDENNICK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-240-9476",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LADC, ADS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1105",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040655",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.