NPIMap

Organization Active NPI

Fairfield Counseling Center PLLC

  • Professional Counselor
  • Fairfield, CT
National Provider Identifier
1699392431
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FAIRFIELD COUNSELING CENTER PLLC
Practice address
765 Post Rd Ste 2
Fairfield, CT 06824-6246
Phone
(203) 581-0053
NPI assigned
Jun 27, 2020
Last updated
Apr 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Authorized official

Name
Karina Andre, LPC LADCNPI 1841593027
Title
Owner
Phone
(203) 581-0053

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

765 Post Rd Ste 2
Fairfield, CT 06824-6246

Mailing address

1468 Burr St
Fairfield, CT 06824-1892
Phone (203) 581-0053

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.fairfieldcounselingcenter.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1593216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649462400000",
    "number": "1699392431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 BURR ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068241892",
            "telephone_number": "203-581-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 POST RD STE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246246",
            "telephone_number": "203-581-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-27",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-581-0053",
        "authorized_official_credential": "LPC LADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fairfieldcounselingcenter.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "765 Post Rd Ste 2",
            "city": "Fairfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068246246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.