Revelation Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009981 Issued in CT

Legal business name

REVELATION COUNSELING, LLC

Practice address

199 Oakwood Ave
West Hartford, CT 06119-2150

Phone

(206) 819-8258

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Kareem Ayodeji, LCSWNPI 1750879920

Title

Ceo

Phone

(206) 819-8258

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kareem Ayodeji

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1750879920
  NPD Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1851896609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GOODSELL ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OAKWOOD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192150",
            "telephone_number": "206-819-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "AYODEJI",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-819-8258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lindsay M Richards, PT

• Clinical Social Worker in West Hartford, CT
• Providers in West Hartford, 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 Mar 26, 2018; 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.