Active NPI
Pearl Haven Counseling for Mental & Behavioral Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomfield, CT
National Provider Identifier
1700790292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PEARL HAVEN COUNSELING FOR MENTAL & BEHAVIORAL HEALTH LLC
- Practice address
- 4 Carpenter LN
Bloomfield, CT 06002-1818 - Phone
- (860) 922-0649
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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
- Phillipia Pottinger, LCSW
- Title
- Clinician & Ceo
- Phone
- (860) 922-0649
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
4 Carpenter LN
Bloomfield, CT 06002-1818
Mailing address
4 Carpenter LN
Bloomfield, CT 06002-1818
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Bloomfield, CT
- NPI 1649184136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1700790292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CARPENTER LN",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CARPENTER LN",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021818",
"telephone_number": "860-922-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL HAVEN COUNSELING FOR MENTAL & BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "POTTINGER",
"authorized_official_first_name": "PHILLIPIA",
"authorized_official_title_or_position": "CLINICIAN & CEO",
"authorized_official_telephone_number": "860-922-0649",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.