My Story Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001776 Issued in CT

Legal business name

MY STORY COUNSELING LLC

Practice address

16 Main St
Ellington, CT 06029-3360

Phone

(860) 871-5402

Fax

(860) 871-5413

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Novia McLaren, LMFT

Title

Owner/Marriage and Family Therapist

Phone

(860) 985-5729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1386006013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293360",
            "telephone_number": "860-871-5402",
            "fax_number": "860-871-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293360",
            "telephone_number": "860-871-5402",
            "fax_number": "860-871-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY STORY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "MCLAREN",
        "authorized_official_first_name": "NOVIA",
        "authorized_official_title_or_position": "OWNER/MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-985-5729",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Ellington, CT
• Providers in Ellington, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.