Organization Active NPI

Thriving Minds Connecticut

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middlebury, CT
National Provider Identifier
1770180770
Registry record updated Dec 16, 2024
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
THRIVING MINDS CONNECTICUT
Practice address
39 Leonard Rd
Middlebury, CT 06762-3602
Phone
(203) 518-4090
Fax
(860) 530-5173
NPI assigned
Oct 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Jessica L Schirano, LPCNPI 1962969592
Title
Owner
Phone
(203) 518-4090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

39 Leonard Rd
Middlebury, CT 06762-3602

Mailing address

39 Leonard Rd
Middlebury, CT 06762-3602
Phone (203) 518-4090

Other identifiers 1

IdentifierTypeStateIssuer
008085944MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1770180770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LEONARD RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623602",
            "telephone_number": "203-518-4090",
            "fax_number": "860-530-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LEONARD RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623602",
            "telephone_number": "203-518-4090",
            "fax_number": "860-530-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING MINDS CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-03",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SCHIRANO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-518-4090",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008085944",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.