Active NPI
Holistic Counseling Services, LLC
- Mental Health Counselor
- Milford, CT
National Provider Identifier
1346697224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1105 | CT | |
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004040655 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI 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.