Organization Active NPI

Western CT Counseling Associates

  • Clinical Social Worker
  • Brookfield, CT
National Provider Identifier
1699224212
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006632 Issued in CT
Legal business name
WESTERN CT COUNSELING ASSOCIATES
Practice address
300 Federal Road
Suite 209
Brookfield, CT 06804-2412
Phone
(475) 289-2500
Fax
(475) 289-2501
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Mr. Dennis Bieber, LCSW
Title
Co-Founder
Phone
(475) 289-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 006632 CT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7507 CT

Addresses

Primary practice location

300 Federal Road
Suite 209
Brookfield, CT 06804-2412

Mailing address

300 Federal Rd Ste 209
Brookfield, CT 06804-2412
Phone (475) 289-2500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1699224212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FEDERAL RD STE 209",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042412",
            "telephone_number": "475-289-2500",
            "fax_number": "475-289-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FEDERAL ROAD",
            "address_2": "SUITE 209",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042412",
            "telephone_number": "475-289-2500",
            "fax_number": "475-289-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CT COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "BIEBER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "475-289-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006632",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.