Complete Counseling Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2618 Issued in CT

Legal business name

COMPLETE COUNSELING GROUP LLC

Practice address

2 Corporate Dr
Suite 209
Trumbull, CT 06611-1376

Phone

(203) 529-5250

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Kali Fortuna, LADC, LPC, NCC

Title

Member

Phone

(203) 529-5250

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kali D Gora, LADC, MS, NCC

  • Professional Counselor
  • Trumbull, CT
  • NPI 1477973667

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1588038202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 QUARTER HORSE DR",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681084",
            "telephone_number": "203-529-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "address_2": "SUITE 209",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-529-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "FORTUNA",
        "authorized_official_first_name": "KALI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-529-5250",
        "authorized_official_credential": "LADC, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1083",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.