NPIMap

Organization Active NPI

Green Lotus Creative Healing Center LLC

  • Professional Counselor
  • Berlin, CT
National Provider Identifier
1578078739
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3209 Issued in CT
Legal business name
GREEN LOTUS CREATIVE HEALING CENTER LLC
Practice address
49 Kenwood St
Berlin, CT 06037-2016
Phone
(860) 470-4304
Fax
(860) 516-8286
NPI assigned
Dec 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Brittany Quinn, LPC, ATR-BC, PMH-CNPI 1306255757
Title
Owner
Phone
(860) 470-4304

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3209 CT Primary

Addresses

Primary practice location

49 Kenwood St
Berlin, CT 06037-2016

Mailing address

49 Kenwood St
Berlin, CT 06037-2016
Phone (860) 470-4304

National Provider Directory

National Provider Directory

Locations

56 Arbor St
Ste 216
Hartford, CT 06106
Phone (860) 302-5603

Practitioners & affiliated clinicians

Practitioners 2

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": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1578078739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 KENWOOD ST",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372016",
            "telephone_number": "860-470-4304",
            "fax_number": "860-516-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KENWOOD ST",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372016",
            "telephone_number": "860-470-4304",
            "fax_number": "860-516-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LOTUS CREATIVE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-470-4304",
        "authorized_official_credential": "LPC, ATR-BC, PMH-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.