Organization Active NPI

Choose Your Path Counseling LLC

  • Clinical Social Worker
  • Southington, CT
National Provider Identifier
1639719545
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHOOSE YOUR PATH COUNSELING LLC
Practice address
92 N Summit St Ste 2G
Southington, CT 06489-3000
Phone
(860) 948-8178
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Valerie Martin, LCSW
Title
Licensed Clinical Social Worker
Phone
(860) 948-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

92 N Summit St Ste 2G
Southington, CT 06489-3000

Mailing address

996 Meriden Waterbury Turnpike
3G
Plantsville, CT 06479
Phone (860) 948-8178

National Provider Directory

National Provider Directory

Locations

92 N Summit St
Ste 2G
Southington, CT 06489
Phone (860) 948-8178

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1639719545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 MERIDEN WATERBURY TURNPIKE",
            "address_2": "3G",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "06479",
            "telephone_number": "860-948-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 N SUMMIT ST STE 2G",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893000",
            "telephone_number": "860-948-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOOSE YOUR PATH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-948-8178",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.