Connecticut Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001668 Issued in CT

Legal business name

CONNECTICUT COUNSELING SERVICES

Practice address

8 Bear Ridge Dr
Bloomfield, CT 06002-1108

Phone

(860) 242-4754

Fax

(860) 242-4754

NPI assigned

Apr 25, 2014

Organization subpart

No

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

Authorized official

Name

Cynthia Delores Lawrence, LPC

Title

Therapist/Owner

Phone

(860) 242-4754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1396165635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BEAR RIDGE DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021108",
            "telephone_number": "860-242-4754",
            "fax_number": "860-242-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BEAR RIDGE DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021108",
            "telephone_number": "860-242-4754",
            "fax_number": "860-242-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "860-242-4754",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.