Organization Active NPI

Heritage Counseling Affiliates, PLLC

  • Clinical Social Worker
  • Meriden, CT
National Provider Identifier
1659078368
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HERITAGE COUNSELING AFFILIATES, PLLC
Practice address
250 Pomeroy Ave Ste 201I
Meriden, CT 06450-8316
Phone
(860) 919-6770
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Jeremiah BakerNPI 1700546421
Title
Owner
Phone
(860) 919-6770

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

250 Pomeroy Ave Ste 201I
Meriden, CT 06450-8316

Mailing address

250 Pomeroy Ave Ste 201I
Meriden, CT 06450-8316
Phone (860) 919-6770

Other names 1

  • Heritage Counseling Affiliates, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910001428 CT Part B Supplier - Clinic/Group Practice 9739682444 Receives reassigned benefits from 1 practitioner
Practice locations: Meriden, CT

National Provider Directory

National Provider Directory

Locations

250 Pomeroy Ave
Ste 201I
Meriden, CT 06450
Phone (860) 919-6770

250 Pomeroy Ave
Ste 201A
Meriden, CT 06450
Phone (860) 877-0846

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1659078368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 POMEROY AVE STE 201I",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508316",
            "telephone_number": "860-919-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 POMEROY AVE STE 201I",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508316",
            "telephone_number": "860-919-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE COUNSELING AFFILIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-919-6770"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Counseling Affiliates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.