Organization Active NPI

West Meadow Counseling, P.C.

  • Mental Health Counselor
  • Ellington, CT
National Provider Identifier
1669784294
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WEST MEADOW COUNSELING, P.C.
Practice address
100 West Rd
Ellington, CT 06029-3798
Phone
(860) 454-0520
Fax
(860) 454-8469
NPI assigned
Jul 12, 2010
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Mrs. Ruthie Lynch
Title
President
Phone
(860) 454-0520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CT Primary

Addresses

Primary practice location

100 West Rd
Ellington, CT 06029-3798

Mailing address

100 West Rd Ste 3
Ellington, CT 06029-3798
Phone (860) 454-0520

Other identifiers 1

IdentifierTypeStateIssuer
004270253MedicaidCT

National Provider Directory

National Provider Directory

Locations

100 West Rd
Ellington, CT 06029
Phone (860) 454-0520

100 West Rd
#3
Ellington, CT 06029
Phone (860) 454-0520

100 West Rd
Ste 3
Ellington, CT 06029
Phone (860) 454-0520

Practitioners & affiliated clinicians

Practitioners 5

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": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1669784294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 3",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293798",
            "telephone_number": "860-454-0520",
            "fax_number": "860-454-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293798",
            "telephone_number": "860-454-0520",
            "fax_number": "860-454-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MEADOW COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "RUTHIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-454-0520",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004270253",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.