New Vision Consultants, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001781 Issued in CT

Legal business name

NEW VISION CONSULTANTS, LLC

Practice address

1057 Broad St
3Rd Floor
Bridgeport, CT 06604-4219

Phone

(203) 549-0852

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Michelle Slade, NCC, LPCNPI 1518103399

Title

Psychotherapist

Phone

(203) 549-0852

Specialties & licenses 1

Addresses

Locations

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.

• Lisa Michelle Slade, LPC

  • Professional Counselor
  • Bridgeport, CT
  • NPI 1518103399
  NPD (past) Authorized official

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1821236266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 READ ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066072016",
            "telephone_number": "203-549-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST",
            "address_2": "3RD FLOOR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044219",
            "telephone_number": "203-549-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-549-0852",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Bridgeport, CT
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• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.