Organization Active NPI

Journey to Healing Clinical Services

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1760827422
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008259 Issued in CT
Legal business name
JOURNEY TO HEALING CLINICAL SERVICES
Practice address
3580 Main St
Lower Level
Hartford, CT 06120-1121
Phone
(860) 794-8260
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Mrs. Colinda Kizuri Hunter, LCSW
Title
Director
Phone
(860) 794-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 008259 CT Primary

Addresses

Primary practice location

3580 Main St
Lower Level
Hartford, CT 06120-1121

Mailing address

PO Box 46
Poquonock, CT 06064-0046
Phone (860) 794-8260

Other identifiers 1

IdentifierTypeStateIssuer
008044968MedicaidCT

National Provider Directory

National Provider Directory

Locations

3580 Main St
Lowr
Hartford, CT 06120
Phone (860) 794-8260

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1760827422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "POQUONOCK",
            "state": "CT",
            "postal_code": "060640046",
            "telephone_number": "860-794-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 MAIN ST",
            "address_2": "LOWER LEVEL",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201121",
            "telephone_number": "860-794-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO HEALING CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "COLINDA",
        "authorized_official_middle_name": "KIZURI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-794-8260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008044968",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.