Private Counseling Associates LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

002175 Issued in CT

Legal business name

PRIVATE COUNSELING ASSOCIATES LLC

Practice address

122A Naubuc Ave
Suite 210
Glastonbury, CT 06033-4246

Phone

(860) 918-1782

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Steady, CRC, LADC, LPCNPI 1023372927

Title

President

Phone

(860) 918-1782

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Michael Steady, CRC, LADC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Glastonbury, CT
  • NPI 1023372927
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1801148507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A NAUBUC AVE",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334246",
            "telephone_number": "860-918-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122A NAUBUC AVE",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334246",
            "telephone_number": "860-918-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "STEADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-918-1782",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRC, LADC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "002175",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CT",
            "license": "000966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.