Organization Active NPI

Heart Centered Counseling Services, LLC

  • Professional Counselor
  • Hartford, CT
National Provider Identifier
1659914331
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEART CENTERED COUNSELING SERVICES, LLC
Practice address
674 Prospect Ave Ste 206
Hartford, CT 06105-4288
Phone
(860) 920-2193
Fax
(860) 578-9122
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Dr. Ramon Vega de Jesus, PH.D.
Title
Proprietor
Phone
(860) 920-2193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

674 Prospect Ave Ste 206
Hartford, CT 06105-4288

Mailing address

25 Christmas Tree HL
Canton, CT 06019-2127
Phone (860) 920-2193

Other identifiers 1

IdentifierTypeStateIssuer
008086088MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1659914331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHRISTMAS TREE HL",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192127",
            "telephone_number": "860-920-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 PROSPECT AVE STE 206",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054288",
            "telephone_number": "860-920-2193",
            "fax_number": "860-578-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTERED COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "VEGA DE JESUS",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "860-920-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008086088",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.