Organization Active NPI

Mirror Reflections Counseling Services, LLC

  • Clinical Social Worker
  • Wethersfield, CT
National Provider Identifier
1346799293
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIRROR REFLECTIONS COUNSELING SERVICES, LLC
Practice address
943 Silas Deane Hwy
2ND Floor
Wethersfield, CT 06109-4270
Phone
(860) 978-3944
Fax
(860) 461-7375
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Mrs. April Jones Heard, LCSWNPI 1225115777
Title
Owner/Manager
Phone
(860) 978-3944

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
Group Psychotherapy PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP2701X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

943 Silas Deane Hwy
2ND Floor
Wethersfield, CT 06109-4270

Mailing address

PO Box 4165
Hartford, CT 06147-4165
Phone (860) 978-3944

National Provider Directory

National Provider Directory

Locations

943 Silas Deane Hwy
Ste 2
Wethersfield, CT 06109
Phone (860) 978-3944

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": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1346799293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4165",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061474165",
            "telephone_number": "860-978-3944",
            "fax_number": "860-461-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 SILAS DEANE HWY",
            "address_2": "2ND FLOOR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094270",
            "telephone_number": "860-978-3944",
            "fax_number": "860-461-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRROR REFLECTIONS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "860-978-3944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.