Supportive Counseling Services

Primary specialty

CounselorTaxonomy code 101Y00000X

License

001277 Issued in CT

Legal business name

SUPPORTIVE COUNSELING SERVICES

Practice address

843 Main St
Suite 11
Manchester, CT 06040-6020

Phone

(860) 305-6164

NPI assigned

Feb 5, 2011

Organization subpart

No

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

Authorized official

Name

Jennifer B Melquist, MA, LPCNPI 1710021688

Title

Owner

Phone

(860) 305-6164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer B Melquist, MA, LPC

  • Counselor
  • Plainville, CT
  • NPI 1710021688
  NPD (past) Authorized official

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296864000000",
    "number": "1386940500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KENSINGTON ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405421",
            "telephone_number": "860-305-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MAIN ST",
            "address_2": "SUITE 11",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406020",
            "telephone_number": "860-305-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-02-05",
        "status": "A",
        "authorized_official_last_name": "MELQUIST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-305-6164",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CT",
            "license": "001277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "001277",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan P Sullivan
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• Counselor in Manchester, CT
• Providers in Manchester, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.