Counseling Center for Discovery & Change LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2519 Issued in CT

Legal business name

COUNSELING CENTER FOR DISCOVERY & CHANGE LLC

Practice address

12 Custer St
Stamford, CT 06902-3128

Phone

(203) 249-5334

NPI assigned

Mar 20, 2015

Last updated

Mar 20, 2015By 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

Roody Joseph, LPC

Title

Owner

Phone

(203) 249-5334

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1548654254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CUSTER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023128",
            "telephone_number": "203-249-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CUSTER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023128",
            "telephone_number": "203-249-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER FOR DISCOVERY & CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ROODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-249-5334",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1114",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph V Costanzo, MD
• Julie Costella, DNP, FNP-BC, CNML
• Julie Costello
• Jodi Costenbader, PHD, LPC
• Bryanna Cotto
• Jake Courtman
• Courtney's Communication Station
• Paule C. Couture, M.D.
• Lisa Marie Covello, PA-C
• Matthew James Coviello, NREMT

• Professional Counselor in Stamford, CT
• Providers in Stamford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.