Active NPI
Berean Counseling LLC
- Counselor
- Manchester, CT
National Provider Identifier
1447015698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- BEREAN COUNSELING LLC
- Practice address
- 117 E Center St
Manchester, CT 06040-5246 - Phone
- (860) 936-2089
- NPI assigned
- Feb 16, 2024
- 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
- Erica L Mott, LPC
- Title
- Owner
- Phone
- (860) 936-2089
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
117 E Center St
Manchester, CT 06040-5246
Mailing address
91 Tinker Pond Rd
Bolton, CT 06043-7527
Phone (860) 936-2089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240419000566 | CT | Part B Supplier - Clinic/Group Practice | 0446699730 |
Receives reassigned benefits from 1 practitioner Practice locations: Bolton, CT; Manchester, CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1447015698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 TINKER POND RD",
"city": "BOLTON",
"state": "CT",
"postal_code": "060437527",
"telephone_number": "860-936-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E CENTER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405246",
"telephone_number": "860-936-2089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEREAN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A",
"authorized_official_last_name": "MOTT",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-936-2089",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.