Connections Counseling Psychotherapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

044725 Issued in NY

Legal business name

CONNECTIONS COUNSELING PSYCHOTHERAPY LCSW PLLC

Doing business as

Connections Counseling

Practice address

6 Duzine Rd
New Paltz, NY 12561-1304

Phone

(845) 255-5022

Fax

(845) 943-6757

NPI assigned

Apr 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ruth Lin Campbell, PH.D.NPI 1023173556

Title

Managing Member/Owner

Phone

(845) 255-5022

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Connections Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Ruth Campbell, LCSW

  • Clinical Social Worker
  • New Paltz, NY
  • NPI 1023173556
  Medicare reassignment NPD Authorized official
• Richard Ira Coleman

  • Clinical Social Worker
  • New Paltz, NY
  • NPI 1003097981
  NPD
• Michael Welikson, L.C.S.W.

  • Mental Health Counselor
  • Bronx, NY
  • NPI 1760424998
  NPD (past)

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1639565120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MAIN ST UNIT 1235",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125619838",
            "telephone_number": "845-255-5022",
            "fax_number": "845-943-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DUZINE RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611304",
            "telephone_number": "845-255-5022",
            "fax_number": "845-943-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "845-255-5022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044725",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02538778",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connections Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.