Chaise Lounge Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHAISE LOUNGE COUNSELING LLC

Practice address

164 Hempstead St
New London, CT 06320-5638

Phone

(860) 237-3273

NPI assigned

Jan 6, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shayna Provencher, LCSWNPI 1801593199

Title

Owner/Provider

Phone

(860) 237-3273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Shayna Provencher, LCSW

  • Clinical Social Worker
  • New London, CT
  • NPI 1801593199

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1477362168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NEW LONDON RD UNIT 1-310",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404869",
            "telephone_number": "860-639-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HEMPSTEAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205638",
            "telephone_number": "860-237-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAISE LOUNGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "PROVENCHER",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "860-237-3273",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Cecere, M.D.
• Skyla Young Cedano, APRN
• Winnifer D Cepeda
• CH-Crossings East LLC (Crossings East Health and Rehabilitation Center)
• CH-Crossings West LLC (Crossings West Health and Rehabilitation Center)
• Ashley Challinor, LPC
• Diana Champagne, BGS
• Alana Chan, P.A.
• Jessica Lyn Chan, APRN
• Lauren E Chaplin, LMFT

• Community/Behavioral Health Agency in New London, CT
• Providers in New London, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.

Verify at the official NPI Registry.