NPIMap

Organization Active NPI

Christian Counseling Center of SE CT, Inc.

  • Marriage & Family Therapist
  • Groton, CT
National Provider Identifier
1871677484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000555 Issued in CT
Legal business name
CHRISTIAN COUNSELING CENTER OF SE CT, INC.
Practice address
214B Thames St
Groton, CT 06340-3632
Phone
(860) 449-1382
Fax
(860) 449-1384
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Jeffrey Brewer, PH.D.NPI 1407918725
Title
Marriage and Family Therapist
Phone
(860) 449-1382

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 000555 CT Primary

Addresses

Primary practice location

214B Thames St
Groton, CT 06340-3632

Mailing address

214B Thames St
Groton, CT 06340-3632
Phone (860) 449-1382

National Provider Directory

National Provider Directory

Locations

214 Thames St
#B
Groton, CT 06340
Phone (860) 449-1382

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871677484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214B THAMES ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403632",
            "telephone_number": "860-449-1382",
            "fax_number": "860-449-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214B THAMES ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403632",
            "telephone_number": "860-449-1382",
            "fax_number": "860-449-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING CENTER OF SE CT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-449-1382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.