New Moon Counseling and Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW MOON COUNSELING AND WELLNESS PLLC

Practice address

175 Capital Blvd Ste 403
Rocky Hill, CT 06067-3914

Phone

(860) 281-1692

Fax

(860) 955-6091

NPI assigned

Feb 8, 2022

Last updated

Jan 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Boland, LMFTNPI 1447773437

Title

Owner

Phone

(860) 874-7261

Specialties & licenses 1

Addresses

Other names 1

• New Moon Behavioral Health and Wellness, PLLC Former legal business name

Locations

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.

• Jessica Boland, MFT

  • Marriage & Family Therapist
  • Rocky Hill, CT
  • NPI 1447773437
  NPD Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1710631858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370606",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061370606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAPITAL BLVD STE 403",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673914",
            "telephone_number": "860-281-1692",
            "fax_number": "860-955-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-874-7261",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Moon Behavioral Health and Wellness, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.