Christina McDonough, MS, LADC, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4389 Issued in CT

Practice address

2 Corporate Dr Ste 211
Trumbull, CT 06611-1376

Phone

(203) 290-1623

Fax

(203) 601-7056

NPI assigned

Apr 18, 2018

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Motivating Change Counseling, LLC

  • Professional Counselor
  • Milford, CT
  • NPI 1205446671

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Wellmore, Inc

  dba Wellmore, Inc.-Therapeutic Shelter

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1336407915
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1689161366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST FL 4",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR STE 211",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-290-1623",
            "fax_number": "203-601-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Red Fox Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066142240",
            "country_code": "US",
            "telephone_number": "638-447-8291",
            "fax_number": "203-601-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "CHRISTINA",
        "name_prefix": "Miss",
        "credential": "MS, LADC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1320",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Mayzler
• Melvyn S. Mazer, O.D.
• Allison McCain-Schroeder, O.D
• David Hurd McCullough, M.D.
• Jenna Marie McDonald, PA-C
• Janis McDuffie
• William McHenry
• Christie McKenzie, PT
• Rachel Catherine Ameer McKeon, LMFT
• McKiernan Physical Therapy LLC (Allied Health & Wellness Centers)

• Professional Counselor in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.