Organization Active NPI

New Leaf Counseling Center LLC

  • Mental Health Counselor
  • Hamden, CT
National Provider Identifier
1356930291
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW LEAF COUNSELING CENTER LLC
Practice address
375 Mather St Ste 11
Hamden, CT 06514-3101
Phone
(203) 601-2775
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Rachel Cushion, LCSWNPI 1710345327
Title
Partner
Phone
(203) 601-2775

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

375 Mather St Ste 11
Hamden, CT 06514-3101

Mailing address

375 Mather St Ste 11
Hamden, CT 06514-3101
Phone (203) 601-2775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210928003733 CT Part B Supplier - Clinic/Group Practice 6709283021 Receives reassigned benefits from 3 practitioners
Practice locations: Hamden, CT

National Provider Directory

National Provider Directory

Locations

375 Mather St
Ste 11
Hamden, CT 06514
Phone (203) 601-2775

Practitioners & affiliated clinicians

Practitioners 4

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": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1356930291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MATHER ST STE 11",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143101",
            "telephone_number": "203-601-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MATHER ST STE 11",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143101",
            "telephone_number": "203-601-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "CUSHION",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-601-2775",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.