Organization Active NPI

Meraki Counseling LLC

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1801506092
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MERAKI COUNSELING LLC
Practice address
76 Fiske St
Waterbury, CT 06710-1327
Phone
(475) 295-2021
NPI assigned
Nov 29, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Cassie Manger
Title
Member
Phone
(475) 295-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

76 Fiske St
Waterbury, CT 06710-1327

Mailing address

76 Fiske St
Waterbury, CT 06710-1327

Other names 1

  • Meraki Counseling PLLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 475-295-2021@willupdatesoon.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240215003289 CT Part B Supplier - Clinic/Group Practice 0547604779 Receives reassigned benefits from 1 practitioner
Practice locations: Willington, CT

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1801506092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 FISKE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 FISKE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101327",
            "telephone_number": "475-295-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MANGER",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "475-295-2021"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "475-295-2021@willupdatesoon.com",
            "affiliation": "N",
            "endpointDescription": "phone number",
            "address_1": "76 Fiske St",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067101327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Meraki Counseling PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.