Organization Active NPI

New Beginnings Counseling LLC

  • Clinical Social Worker
  • Middlebury, CT
National Provider Identifier
1568094902
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW BEGINNINGS COUNSELING LLC
Practice address
2030 Straits Tpke Ste 6
Middlebury, CT 06762-1831
Phone
(843) 655-4022
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Shannon Norma Nicholson, LCSWNPI 1285042200
Title
Clinician
Phone
(843) 655-4022

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2030 Straits Tpke Ste 6
Middlebury, CT 06762-1831

Mailing address

42 Marc Dr
Watertown, CT 06795-3073
Phone (843) 655-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824000654 CT Part B Supplier - Clinic/Group Practice 9436575313 Receives reassigned benefits from 3 practitioners
Practice locations: Middlebury, CT

National Provider Directory

National Provider Directory

Locations

2030 Straits Tpke
Ste 6
Middlebury, CT 06762
Phone (203) 525-8558

51 Echo Lake Rd
Watertown, CT 06795
Phone (203) 465-6537

Practitioners & affiliated clinicians

Practitioners 4

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": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1568094902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MARC DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953073",
            "telephone_number": "843-655-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 STRAITS TPKE STE 6",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621831",
            "telephone_number": "843-655-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NORMA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "843-655-4022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.