Support: You

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SUPPORT: YOU

Practice address

304 Federal Rd Ste 312
Brookfield, CT 06804-2419

Phone

(203) 826-4262

NPI assigned

Jun 1, 2022

Organization subpart

No

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

Authorized official

Name

Jessica Sousa Santos, LCSWNPI 1326534918

Title

Owner

Phone

(203) 826-4262

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Jessica Marie Sousa-Santos, LCSW

  • Clinical Social Worker
  • Brookfield, CT
  • NPI 1326534918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1821737446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD STE 312",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042419",
            "telephone_number": "203-826-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD STE 312",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042419",
            "telephone_number": "203-826-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT: YOU",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "SOUSA SANTOS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-826-4262",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Stringer, RPH
• Strong Together Counseling LLC
• James Michael Sullivan, PHD
• Kathleen Marie Sullivan, LMFT
• Summit Fitness & Rehabilitation, LLC
• Leslie Tan, LMHC
• The Blue Butterfly Beyond Autism LLC
• The Brookfield Volunteer Fire Company Inc
• The Child & Family Institute of Fairfield County
• The Dental Team

• Adult Mental Health Clinic/Center in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.