Christian Counseling of Hartford LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHRISTIAN COUNSELING OF HARTFORD LLC

Practice address

555 Franklin Ave
Hartford, CT 06114-3081

Phone

(860) 995-8330

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Devon Forbes, LCSWNPI 1508293622

Title

Owner

Phone

(860) 995-8330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Devon Forbes, LCSW

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1508293622
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1669132924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MONTEMERLO AVE",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060962727",
            "telephone_number": "860-995-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FRANKLIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061143081",
            "telephone_number": "860-995-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING OF HARTFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-995-8330",
        "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": []
}

• Paulina Chorzepa, PA-C
• Nichole E Chouinard, FNP-C
• Zafira Chowdhury
• Bruce Steven Chozick, M.D.
• Rebecca Marie Christensen, MD
• Selina Christian, LCSW
• Taylor Christiana, PA-C
• Scheuster Emmanuel Christie, MD
• Violet M Chrostowski, APRN
• Benjamin Chu

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.