Organization Active NPI

Safe Journey Counseling, LLC

  • Community/Behavioral Health Agency
  • Watertown, CT
National Provider Identifier
1851844534
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002967 Issued in CT
Legal business name
SAFE JOURNEY COUNSELING, LLC
Practice address
76 Westbury Park Rd
Watertown, CT 06795-2779
Phone
(203) 305-6390
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Nicole Brooke Gilman-Yap, LPC
Title
Clinician
Phone
(203) 305-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 002967 CT Primary

Addresses

Primary practice location

76 Westbury Park Rd
Watertown, CT 06795-2779

Mailing address

254 Tuttle Rd
Southbury, CT 06488-3904
Phone (203) 305-6390

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1851844534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 TUTTLE RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883904",
            "telephone_number": "203-305-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WESTBURY PARK RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952779",
            "telephone_number": "203-305-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE JOURNEY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GILMAN-YAP",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "203-305-6390",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "002967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.