Holistic Counseling and Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HOLISTIC COUNSELING AND WELLNESS LLC

Practice address

404 Thames St FL 3
Groton, CT 06340-3959

Phone

(860) 245-9240

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 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

Nicole Smith, M.A., LPCNPI 1639701667

Title

Owner/Practitioner

Phone

(860) 245-9240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Nicole Smith, MA, LPC

  • Professional Counselor
  • Groton, CT
  • NPI 1639701667
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1740036300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S FRONTAGE RD # 1042",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202641",
            "telephone_number": "860-245-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 THAMES ST FL 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403959",
            "telephone_number": "860-245-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "860-245-9240",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Weldon Himes, HM1
• Sarah Elisabeth Hirschkowitz
• Keith Benjamin Hoekman
• Holly-Ann Hoff, OTR/L
• Ashlee Marie Hoitt, RBT
• Johanna Holliday, LPC
• Homelife Companions and Homemakers, LLC
• Hope & Resiliency Counseling LLC
• Alyssa Horton, PHARM.D
• John Anthony Hoyos, DNP, PMHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.