NPIMap

Organization Active NPI

Your Best Life, LLC

  • Mental Health Counselor
  • Plainville, CT
National Provider Identifier
1619456563
Registry record updated Aug 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2369 Issued in CT
Legal business name
YOUR BEST LIFE, LLC
Practice address
307 East St
Plainville, CT 06062-3417
Phone
(860) 836-7962
NPI assigned
Aug 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2018

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

Authorized official

Name
Mrs. Sharon Czako, LPCNPI 1386928919
Title
Manager
Phone
(860) 836-7962

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2369 CT Primary

Addresses

Primary practice location

307 East St
Plainville, CT 06062-3417

Mailing address

PO Box 597
Plainville, CT 06062-0597

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1533945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533945600000",
    "number": "1619456563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060620597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060623417",
            "telephone_number": "860-836-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR BEST LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-11",
        "last_updated": "2018-08-11",
        "status": "A",
        "authorized_official_last_name": "CZAKO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-836-7962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.