Active NPI
Wholistic Therapy
- Professional Counselor
- Fairfield, CT
National Provider Identifier
1770947202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2935
- Legal business name
- WHOLISTIC THERAPY
- Practice address
- 1330 Post Rd
Suite 9
Fairfield, CT 06824-6039 - Phone
- (203) 680-0322
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Michelle Santiago
- Title
- Billing
- Phone
- (203) 278-9131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2935 | CT | Primary |
Addresses
Primary practice location
1330 Post Rd
Suite 9
Fairfield, CT 06824-6039
Mailing address
1330 Post Rd
Suite 9
Fairfield, CT 06824-6039
Phone (203) 680-0322
National Provider Directory
National Provider DirectoryLocations
765 Post Rd
Ste 1
Fairfield, CT 06824
1330 Post Rd
Ste 9
Fairfield, CT 06824
Phone (203) 680-0322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Fairfield, CT
- NPI 1942663604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1770947202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 POST RD",
"address_2": "SUITE 9",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246039",
"telephone_number": "203-680-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 POST RD",
"address_2": "SUITE 9",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246039",
"telephone_number": "203-680-0322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLISTIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "203-278-9131",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CT",
"license": "2935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.