NPIMap

Organization Active NPI

CT Kids Matter LLC

Doing business as Bedrock Wellness

  • Community/Behavioral Health Agency
  • Cheshire, CT
National Provider Identifier
1710452255
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CT KIDS MATTER LLC
Doing business as
Bedrock Wellness
CT Kids Matter
CT Kids Matter LLC
Practice address
345 Highland Ave Ste 102
Cheshire, CT 06410-2550
Phone
(203) 599-1492
NPI assigned
Oct 11, 2018
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Heather R Laselle, PHD, LCSW,MS,MPANPI 1649511437
Title
Executive Clinical Director
Phone
(203) 599-1492

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

345 Highland Ave Ste 102
Cheshire, CT 06410-2550

Mailing address

345 Highland Ave Ste 102
Cheshire, CT 06410-2550
Phone (203) 599-1492

Other practice location 1

176 Robin Ln
Cheshire, CT 06410-2428
Phone (860) 806-5051

Other identifiers 1

IdentifierTypeStateIssuer
008083434MedicaidCT

Other names 3

  • Bedrock Wellness Doing business as
  • CT KIDS MATTER Doing business as
  • CT Kids Matter LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@ctkidsmatter.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240222002712 CT Part B Supplier - Clinic/Group Practice 5698143923 Receives reassigned benefits from 11 practitioners
Practice locations: Cheshire, CT

National Provider Directory

National Provider Directory

Locations

345 Highland Ave
Ste 102
Cheshire, CT 06410
Phone (203) 599-1492

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1710452255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 HIGHLAND AVE STE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102550",
            "telephone_number": "203-599-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 HIGHLAND AVE STE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102550",
            "telephone_number": "203-599-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Robin Ln",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064102428",
            "country_code": "US",
            "telephone_number": "860-806-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CT KIDS MATTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "LASELLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "203-599-1492",
        "authorized_official_credential": "PHD, LCSW,MS,MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008083434",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ctkidsmatter.com",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "416 Highland Ave Ste B",
            "city": "Cheshire",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064102531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bedrock Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CT KIDS MATTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CT Kids Matter LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.