Organization Active NPI

Sculpted Spirit Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Danbury, CT
National Provider Identifier
1417862566
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.