Organization Active NPI

Balanced for Success, LLC

  • Marriage & Family Therapist
  • Milford, CT
National Provider Identifier
1629196795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001156 Issued in CT
Legal business name
BALANCED FOR SUCCESS, LLC
Practice address
53 River St
Suite 11
Milford, CT 06460-3346
Phone
(203) 605-1399
Fax
(203) 288-6096
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shauna D. Sottery, LMFTNPI 1265080386
Title
Licensed Marriage Family Therapist
Phone
(203) 605-1399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001156 CT Primary

Addresses

Primary practice location

53 River St
Suite 11
Milford, CT 06460-3346

Mailing address

1314 Aspen Glen Dr
Hamden, CT 06518-5320
Phone (203) 605-1399

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629196795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 ASPEN GLEN DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065185320",
            "telephone_number": "203-605-1399",
            "fax_number": "203-288-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 RIVER ST",
            "address_2": "SUITE 11",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603346",
            "telephone_number": "203-605-1399",
            "fax_number": "203-288-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED FOR SUCCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOTTERY",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LICENSED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "203-605-1399",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001156",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.