Just Breathe Connecticut LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005794 Issued in CT

Legal business name

JUST BREATHE CONNECTICUT LLC

Practice address

420 Somers Rd
Ellington, CT 06029-2629

Phone

(860) 255-4475

NPI assigned

Jul 31, 2013

Last updated

Jun 1, 2023By 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

Kerry Lynn Tuttle

Title

Owner

Phone

(860) 255-4475

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

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.

• Kerry Lynn Ketchale, LCSW

  • Clinical Social Worker
  • Ellington, CT
  • NPI 1518270446
  Medicare reassignment NPD
• Mary Kay Kittredge, LCSW

  • Clinical Social Worker
  • Ellington, CT
  • NPI 1144698473
  NPD
• Klaudia Lobeska

  • Clinical Social Worker
  • Ellington, CT
  • NPI 1962277566
  NPD
• Merle Cohen, LCSW

  • Clinical Social Worker
  • Ellington, CT
  • NPI 1124956842
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1821420977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SOMERS RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292629",
            "telephone_number": "860-255-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SOMERS RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292629",
            "telephone_number": "860-255-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST BREATHE CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-255-4475"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002689",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Janiga, DMD
• Grace Jaworski, MS, BCBA
• Stephanie Lynn-Poole Jodice, M.S.-CCC
• John M. Hintze, PH.D. LLC
• Yanawn Johnson
• Kaitlin Myska LMFT LLC
• Karen Case LPC LLC
• Kelly a. Schmidt, PH.D., LLC
• Craig Thomas Kelly, L.AC.
• Kerry Lynn Ketchale, LCSW

• Clinical Social Worker in Ellington, CT
• Providers in Ellington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.