NPIMap

Organization Active NPI

Systemic Counseling Services, LLC

  • Marriage & Family Therapist
  • New Haven, CT
National Provider Identifier
1497029961
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SYSTEMIC COUNSELING SERVICES, LLC
Practice address
357 Whitney Ave
C/O Lovins Group
New Haven, CT 06511-2364
Phone
(203) 233-9179
Fax
(203) 624-7599
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Donald Patrick Opatrny, LMFTNPI 1548339542
Title
Owner/Member
Phone
(203) 233-9179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X CT
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X CT Primary

Addresses

Primary practice location

357 Whitney Ave
C/O Lovins Group
New Haven, CT 06511-2364

Mailing address

357 Whitney Ave
C/O Lovins Group
New Haven, CT 06511-2364
Phone (203) 233-9179

Other identifiers 1

IdentifierTypeStateIssuer
001051OtherCTSTATE OF CT DEPT OF PUBLIC HEALTH LICENSE NUMBER - MFT

National Provider Directory

National Provider Directory

Locations

357 Whitney Ave
New Haven, CT 06511
Phone (203) 776-1966

Practitioners & affiliated clinicians

Practitioners 2

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": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1497029961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WHITNEY AVE",
            "address_2": "C/O LOVINS GROUP",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112364",
            "telephone_number": "203-233-9179",
            "fax_number": "203-624-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WHITNEY AVE",
            "address_2": "C/O LOVINS GROUP",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112364",
            "telephone_number": "203-233-9179",
            "fax_number": "203-624-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMIC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "OPATRNY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "203-233-9179",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT DEPT OF PUBLIC HEALTH LICENSE NUMBER - MFT",
            "identifier": "001051",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.