Organization Active NPI

Psychotherapy Practice of Victoria Hall, LLC

  • Professional Counselor
  • Milford, CT
National Provider Identifier
1437625936
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PSYCHOTHERAPY PRACTICE OF VICTORIA HALL, LLC
Practice address
31 Cherry St Ste 101
Milford, CT 06460-3465
Phone
(203) 219-9954
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Victoria Hall, LPC
Title
Owner
Phone
(203) 219-9954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

31 Cherry St Ste 101
Milford, CT 06460-3465

Mailing address

31 Cherry St Ste 101
Milford, CT 06460-3465
Phone (203) 219-9954

Other identifiers 1

IdentifierTypeStateIssuer
13-6238845MedicaidCT

National Provider Directory

National Provider Directory

Locations

31 Cherry St
Ste 101
Milford, CT 06460
Phone (203) 219-9954

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1437625936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CHERRY ST STE 101",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603465",
            "telephone_number": "203-219-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CHERRY ST STE 101",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603465",
            "telephone_number": "203-219-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY PRACTICE OF VICTORIA HALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-219-9954",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13-6238845",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.