Organization Active NPI

Courage to Heal Counseling Services, LLC

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1851718225
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001543 Issued in CT
Legal business name
COURAGE TO HEAL COUNSELING SERVICES, LLC
Practice address
28 Grand St
Hartford, CT 06106-1506
Phone
(860) 518-1964
Fax
(888) 685-3047
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Miss Shayna Terlene Sanders, LMFT
Title
Clinician/Owner
Phone
(860) 518-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001543 CT Primary

Addresses

Primary practice location

28 Grand St
Hartford, CT 06106-1506

Mailing address

28 Grand St
Hartford, CT 06106-1506
Phone (860) 518-1964

Other identifiers 1

IdentifierTypeStateIssuer
008041510MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1851718225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061506",
            "telephone_number": "860-518-1964",
            "fax_number": "888-685-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061506",
            "telephone_number": "860-518-1964",
            "fax_number": "888-685-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO HEAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_middle_name": "TERLENE",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "860-518-1964",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008041510",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.