Evolving Tree Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVOLVING TREE THERAPY LLC

Practice address

95 Main St Ste 200
Canaan, CT 06018-2463

Phone

(203) 947-3764

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By 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

Ms. Sarah Dorothy Osborne, LPC, LADCNPI 1174949655

Title

Ceo

Phone

(203) 947-3764

Specialties & licenses 3

Addresses

Locations

Practitioners 5

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.

• Sarah Dorothy Osborne, LPC, LADC, EMDR CERT

  • Professional Counselor
  • Canaan, CT
  • NPI 1174949655
  NPD Authorized official
• Brittanie Cavanaugh, LPC, LADC

  • Professional Counselor
  • Canaan, CT
  • NPI 1558729673
  NPD (past)
• Jaclyn Emilia Tanner, M.A., COUNSELING

  • Mental Health Counselor
  • Hartford, CT
  • NPI 1104207158
  NPD (past)
• Kelly Tarascio, LCSW

  • Clinical Social Worker
  • Middlebury, CT
  • NPI 1174112262
  NPD (past)
• Marielle Duke, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1114574647

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1720830995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060181123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN ST STE 200",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182463",
            "telephone_number": "203-947-3764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Main St Ste 14",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067905340",
            "country_code": "US",
            "telephone_number": "860-307-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVING TREE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-947-3764",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita-Marie Doyle-Staino, RPH
• Melissa Dube
• Randall R Dwenger, MD
• Laura D Ebling, PHD
• Lobna Elsarafy, PT
• Zachary Farrell
• Kathryn Fitzgerald, LPC
• Paul H Foeller, OD
• Forward Physical Therapy & Wellness LLC
• Marie Gallerani, PHARM.D.

• Mental Health Counselor in Canaan, CT
• Providers in Canaan, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.