Organization Active NPI

The Anchored Group LLC

  • Mental Health Counselor
  • Milford, CT
National Provider Identifier
1609464361
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE ANCHORED GROUP LLC
Practice address
23 Carter Dr
Milford, CT 06460-5604
Phone
(203) 815-9546
NPI assigned
Jan 7, 2021
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Mr. Derrick D Lewis, REV.
Title
Founder/Ceo
Phone
(203) 815-9546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

23 Carter Dr
Milford, CT 06460-5604

Mailing address

23 Carter Dr
Milford, CT 06460-5604
Phone (203) 815-9546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1609464361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CARTER DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605604",
            "telephone_number": "203-815-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CARTER DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605604",
            "telephone_number": "203-815-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANCHORED GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "203-815-9546",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REV."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.