NPIMap

Organization Active NPI

C&C Counseling Services, LLC

  • Mental Health Counselor
  • Newtonville, MA
National Provider Identifier
1477159309
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
C&C COUNSELING SERVICES, LLC
Practice address
11 Melbourne Ave
Newtonville, MA 02460-1221
Phone
(339) 224-4394
Fax
(339) 204-9371
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Mr. Jason M Aylsworth, LMHCNPI 1649702143
Title
Owner/Operator
Phone
(339) 224-4394

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11 Melbourne Ave
Newtonville, MA 02460-1221

Mailing address

11 Melbourne Ave
Newtonville, MA 02460-1221
Phone (339) 224-0391

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://candccounselingservices.clientsecure.me/ Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1477159309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MELBOURNE AVE",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601221",
            "telephone_number": "339-224-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MELBOURNE AVE",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601221",
            "telephone_number": "339-224-4394",
            "fax_number": "339-204-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&C COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "AYLSWORTH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "339-224-4394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://candccounselingservices.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Secure Client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SimplePratice",
            "address_1": "11 Melbourne Ave",
            "city": "Newtonville",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024601221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtonville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.