Time to Restore Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TIME TO RESTORE INC

Practice address

26 Burnwood Dr
Bloomfield, CT 06002-2202

Phone

(860) 513-2850

NPI assigned

Feb 9, 2023

Last updated

Feb 9, 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

Kate Deciccio, LPCNPI 1548885122

Title

Executive Director

Phone

(203) 444-0511

Specialties & licenses 2

Addresses

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.

• Kate Deciccio, LPC

  • Mental Health Counselor
  • Madison, CT
  • NPI 1548885122
  Authorized official Same address or phone

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1710684881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BURNWOOD DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022202",
            "telephone_number": "860-513-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BURNWOOD DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022202",
            "telephone_number": "860-513-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO RESTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "DECICCIO",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-444-0511",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ly C Tran, PA-C

• Professional Counselor in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Professional Counselor in Connecticut

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