Active NPI
Seasons Christian Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Windsor, CT
National Provider Identifier
1699250928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SEASONS CHRISTIAN COUNSELING, LLC
- Practice address
- 360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700 - Phone
- (860) 471-3819
- NPI assigned
- Oct 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek James Wilson, LPC
- Title
- Licensed Professional Counselor
- Phone
- (860) 471-3819
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Mailing address
260 Carriage Crossing LN
Middletown, CT 06457-5864
Phone (860) 471-3819
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Windsor, CT
- NPI 1114348729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538438400000",
"number": "1699250928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 CARRIAGE CROSSING LN",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064575864",
"telephone_number": "860-471-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BLOOMFIELD AVE STE 301",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952700",
"telephone_number": "860-471-3819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASONS CHRISTIAN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "860-471-3819",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.