NPIMap

Organization Active NPI

Connecticut Counseling Centers, Inc.

  • Adult Mental Health Clinic/Center
  • Meriden, CT
National Provider Identifier
1780189480
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHDT0070 Issued in CT
Legal business name
CONNECTICUT COUNSELING CENTERS, INC.
Practice address
290 Pratt St Ste 2312
Meriden, CT 06450-8600
Phone
(203) 317-2500
Fax
(203) 317-2525
NPI assigned
Mar 26, 2018
Last updated
Mar 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Jason Bradway
Title
Director of Information Systems
Phone
(203) 568-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MHDT0070 CT Primary

Addresses

Primary practice location

290 Pratt St Ste 2312
Meriden, CT 06450-8600

Mailing address

50 Brookside Rd
Waterbury, CT 06708-1402
Phone (203) 568-7466

Other identifiers 2

IdentifierTypeStateIssuer
SA0564OtherCTCONNECTICUT DEPT PUBLIC HEALTH
MHDT0070OtherCTCONNECTICUT DEPT PUBLIC HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Counseling Centers Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1780189480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROOKSIDE RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081402",
            "telephone_number": "203-568-7466",
            "fax_number": "203-568-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 PRATT ST STE 2312",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508600",
            "telephone_number": "203-317-2500",
            "fax_number": "203-317-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT COUNSELING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "BRADWAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF INFORMATION SYSTEMS",
        "authorized_official_telephone_number": "203-568-7466"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "MHDT0070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT DEPT PUBLIC HEALTH",
            "identifier": "SA0564",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT DEPT PUBLIC HEALTH",
            "identifier": "MHDT0070",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.