NPIMap

Organization Active NPI

Western Connecticut Center for Neurofeedback and Counseling, LLC

  • Marriage & Family Therapist
  • Sandy Hook, CT
National Provider Identifier
1821463829
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001618 Issued in CT
Legal business name
WESTERN CONNECTICUT CENTER FOR NEUROFEEDBACK AND COUNSELING, LLC
Practice address
13 Berkshire Rd
Unit 1
Sandy Hook, CT 06482-1361
Phone
(203) 491-2577
Fax
(203) 491-2579
NPI assigned
Dec 2, 2015
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Mr. Jeffrey John Schutz, LMFT, BCN, ORDNPI 1376804948
Title
Owner
Phone
(203) 482-5464

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 001618 CT Primary

Addresses

Primary practice location

13 Berkshire Rd
Unit 1
Sandy Hook, CT 06482-1361

Mailing address

13 Berkshire Rd
Unit 1
Sandy Hook, CT 06482-1361
Phone (203) 491-2577

Other names 1

  • Family Therapeutic Counseling Matters, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Family Therapeutic Counseling Matters LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13 Berkshire Rd
#1
Sandy Hook, CT 06482
Phone (203) 491-2577

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1821463829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BERKSHIRE RD",
            "address_2": "UNIT 1",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821361",
            "telephone_number": "203-491-2577",
            "fax_number": "203-491-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BERKSHIRE RD",
            "address_2": "UNIT 1",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821361",
            "telephone_number": "203-491-2577",
            "fax_number": "203-491-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CONNECTICUT CENTER FOR NEUROFEEDBACK AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "SCHUTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-482-5464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, BCN, ORD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Therapeutic Counseling Matters, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sandy Hook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.