Organization Active NPI

Jaclyn Tanner Counseling, LLC

  • Professional Counselor
  • Torrington, CT
National Provider Identifier
1801515523
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JACLYN TANNER COUNSELING, LLC
Practice address
40 Main St Ste 9
Torrington, CT 06790-5340
Phone
(860) 387-7567
Fax
(860) 387-7567
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Jaclyn Emilia Tanner, LPCNPI 1104207158
Title
Owner, Therapist
Phone
(860) 307-5008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

40 Main St Ste 9
Torrington, CT 06790-5340

Mailing address

50 Kimball LN
Torrington, CT 06790-4417
Phone (860) 307-5008

National Provider Directory

National Provider Directory

Locations

40 Main St
Ste 9
Torrington, CT 06790
Phone (860) 387-7567

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1801515523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KIMBALL LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904417",
            "telephone_number": "860-307-5008",
            "fax_number": "860-387-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 9",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905340",
            "telephone_number": "860-387-7567",
            "fax_number": "860-387-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN TANNER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "EMILIA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "860-307-5008",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.