Organization Active NPI

Embracing Your Difference

  • Mental Health Counselor
  • North Haven, CT
National Provider Identifier
1790321727
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBRACING YOUR DIFFERENCE
Practice address
410 State St RM 7
North Haven, CT 06473-3149
Phone
(203) 936-9213
NPI assigned
Nov 25, 2019
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Venice Garner-Moore, LCSW
Title
Owner/Therapist
Phone
(203) 936-9213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

410 State St RM 7
North Haven, CT 06473-3149

Mailing address

410 State St RM 7
North Haven, CT 06473-3149

National Provider Directory

National Provider Directory

Locations

410 State St
Rm 7
North Haven, CT 06473
Phone (203) 701-9115

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1790321727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 STATE ST RM 7",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 STATE ST RM 7",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733149",
            "telephone_number": "203-936-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING YOUR DIFFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "GARNER-MOORE",
        "authorized_official_first_name": "VENICE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "203-936-9213",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.