Integrated Counseling Solutions, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002445 Issued in CT

Legal business name

INTEGRATED COUNSELING SOLUTIONS, LLC

Practice address

363 Main St Ste 512
Middletown, CT 06457-3359

Phone

(860) 373-8698

NPI assigned

Dec 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Charlene Denise Keeler, LPCNPI 1134555469

Title

Partner

Phone

(860) 373-8698

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

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

• Charlene Denise Keeler, MS

  • Professional Counselor
  • Amston, CT
  • NPI 1134555469
  NPD (past) Authorized official

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1639685456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WOOD ACRES RD",
            "city": "AMSTON",
            "state": "CT",
            "postal_code": "062311751",
            "telephone_number": "860-373-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST STE 512",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573359",
            "telephone_number": "860-373-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COUNSELING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-373-8698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "1134555469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "1134555469",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134555469",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "1134555469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1134555469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUSKY A",
            "identifier": "1134555469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Hwang, APRN
• Shaina Michele Ianniello, LCSW
• Suzanne Ierna, RDH
• Innovative Team Care (Itc)
• Inspire Health and Wellness LLC
• Integrated Dermatology of Middletown, PLLC
• Marina Ruxandra Ionita, MD
• Amna Iqbal, M.D.
• Rizwan Iqbal, M.D.
• Francisco Irby, MD

• Professional Counselor in Middletown, CT
• Providers in Middletown, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.