Organization Active NPI

Full Circle Counseling, LLC

  • Marriage & Family Therapist
  • Middlebury, CT
National Provider Identifier
1649706516
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001067 Issued in CT
Legal business name
FULL CIRCLE COUNSELING, LLC
Practice address
2030 Straits Tpke
Ste 2
Middlebury, CT 06762-1831
Phone
(203) 577-6444
Fax
(203) 577-6444
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Ms. Katherine Leigh Pomeroy, LMFTNPI 1871632562
Title
Owner
Phone
(203) 577-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001067 CT Primary

Addresses

Primary practice location

2030 Straits Tpke
Ste 2
Middlebury, CT 06762-1831

Mailing address

2030 Straits Tpke
Ste 2
Middlebury, CT 06762-1831
Phone (203) 577-6444

Other identifiers 1

IdentifierTypeStateIssuer
004257326MedicaidCT

National Provider Directory

National Provider Directory

Locations

2030 Straits Tpke
Ste 2
Middlebury, CT 06762
Phone (203) 577-6444

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1649706516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 STRAITS TPKE",
            "address_2": "STE 2",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621831",
            "telephone_number": "203-577-6444",
            "fax_number": "203-577-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 STRAITS TPKE",
            "address_2": "STE 2",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621831",
            "telephone_number": "203-577-6444",
            "fax_number": "203-577-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "POMEROY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-577-6444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004257326",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.