Causeway Collaborative LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CAUSEWAY COLLABORATIVE LLC

Practice address

1465 Post Rd E Ste 201
Westport, CT 06880-5528

Phone

(203) 255-0301

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Benevento Jr., LPCNPI 1265579940

Title

Director

Phone

(203) 927-3713

Specialties & licenses 1

Addresses

Other names 1

• Causeway Collaborative Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent J. Benevento Jr., LPC

  • Professional Counselor
  • Westport, CT
  • NPI 1265579940
  NPD Authorized official
• David Gofman, LPC

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1255977385
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1770151748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 POST RD E STE 201",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805528",
            "telephone_number": "203-255-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 POST RD E STE 201",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805528",
            "telephone_number": "203-255-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUSEWAY COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BENEVENTO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-927-3713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Causeway Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Westport, CT
• Providers in Westport, 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 Jun 15, 2021; 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.