Organization Active NPI

Simply Being Wellness Counseling

  • Professional Counselor
  • Farmington, CT
National Provider Identifier
1861996613
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SIMPLY BEING WELLNESS COUNSELING
Practice address
304 Main St Ste 214
Farmington, CT 06032-2985
Phone
(860) 940-0792
NPI assigned
Mar 19, 2018
Last updated
Mar 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Krystal C Jackson, LPCNPI 1205086659
Title
Owner/Therapist
Phone
(860) 940-0792

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
Professional Counselor 101YP2500X CT Primary

Addresses

Primary practice location

304 Main St Ste 214
Farmington, CT 06032-2985

Mailing address

304 Main St Ste 214
Farmington, CT 06032-2985
Phone (860) 940-0792

National Provider Directory

National Provider Directory

Locations

304 Main St
Ste 214
Farmington, CT 06032
Phone (860) 404-6330

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1861996613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN ST STE 214",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-940-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST STE 214",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-940-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY BEING WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "860-940-0792",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.