Holly Heaven

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HOLLY HEAVEN

Practice address

1057 Broad St Ste 304
Bridgeport, CT 06604-4219

Phone

(203) 545-1582

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Holly Heaven, LPCNPI 1457986580

Title

Owner

Phone

(203) 545-1582

Specialties & licenses 3

Addresses

Other names 1

• Another Way Counseling Service LLC Doing business as

Electronic endpoints 2

Practitioners 1

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

• Holly Heaven

  • Professional Counselor
  • Stratford, CT
  • NPI 1457986580
  NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1639791106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064180011",
            "telephone_number": "203-545-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST STE 304",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044219",
            "telephone_number": "203-545-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HEAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "HEAVEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-545-1582",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anotherwaycounseling@yahoo.com",
            "affiliation": "N",
            "address_1": "1057 Broad St Ste 304",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066044219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anotherwaycounseling@yahoo.com",
            "affiliation": "N",
            "address_1": "1057 Broad St Ste 304",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066044219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Another Way Counseling Service LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Another Way Counseling Service LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Hoffman, MD
• Tracey Jennifer Hoggatt, APRN
• Anvar Jabbar Hoja, PA
• Bevan Kurthy Hollingsworth, DPM
• Nicole Holloran, APRN
• Sheryl L Hollyday, FNP-BC
• Francine L Holmes, LMSW
• Peter J Holzer, CPSRP
• Forugh Homayounrooz, MD
• Home First Health Care LLC

• Mental Health Counselor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.