Active NPI
Sculpted Spirit Mental Health Counseling, PLLC
- Mental Health Counselor
- Danbury, CT
National Provider Identifier
1417862566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SCULPTED SPIRIT MENTAL HEALTH COUNSELING, PLLC
- Practice address
- 23 Meadow St Apt 1
Danbury, CT 06810-3436 - Phone
- (201) 255-7814
- NPI assigned
- Aug 14, 2026
- Last updated
- Aug 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daesean Clay
- Title
- Sole Member
- Phone
- (201) 255-7814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
23 Meadow St Apt 1
Danbury, CT 06810-3436
Mailing address
169 Madison Ave Ste 15830
New York, NY 10016-5101
Phone (201) 255-7814
National Provider Directory
National Provider DirectoryLocations
169 Madison Ave
Ste 15830
New York, NY 10016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1417862566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15830",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "201-255-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 MEADOW ST APT 1",
"city": "DANBURY",
"state": "CT",
"postal_code": "068103436",
"telephone_number": "201-255-7814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCULPTED SPIRIT MENTAL HEALTH COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "DAESEAN",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "201-255-7814"
},
"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 Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.