Organization Active NPI

Simply Breathing Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watertown, CT
National Provider Identifier
1760254262
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SIMPLY BREATHING WELLNESS LLC
Practice address
245 Cherry Ave Unit O22
Watertown, CT 06795-2879
Phone
(203) 767-5170
NPI assigned
Oct 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Amanda Cepero Rey, LPC
Title
Licensed Professional Counselor
Phone
(203) 767-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

245 Cherry Ave Unit O22
Watertown, CT 06795-2879

Mailing address

245 Cherry Ave
Watertown, CT 06795-2835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1760254262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHERRY AVE",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY AVE UNIT O22",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952879",
            "telephone_number": "203-767-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY BREATHING WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "CEPERO REY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "203-767-5170",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.