Sankofa Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1142 Issued in CT

Legal business name

SANKOFA COUNSELING LLC

Practice address

64 Thompson St Ste A101
East Haven, CT 06513

Phone

(203) 928-0807

Fax

(203) 889-2328

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Erica S. Reshard, LADC, MSW, ADSNPI 1699156356

Title

Owner

Phone

(203) 928-0807

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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

• Erica Reshard, LADC, MSW

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1699156356
  Medicare reassignment NPD Authorized official
• Tara Paine

  • Clinical Social Worker
  • East Haven, CT
  • NPI 1134408610
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1871979567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3744",
            "address_2": "1449 WHALLEY AVENUE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065159994",
            "telephone_number": "203-928-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST STE A101",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-928-0807",
            "fax_number": "203-889-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "RESHARD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-928-0807",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC, MSW, ADS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008060075",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rozes, PHARMD
• Ivette Ruiz
• Dalya Amer Sabet, PHARMD
• Jeanne Sakouvogui
• Paula Jean Salerno, P.T.
• Jodi L Sapiente, COTA
• Kaitlin Sardella, OTR/L
• Paul R. Scollan, LCSW
• Jason Alex Sefsik, PHARMD
• Shared Journey, LLC

• Community/Behavioral Health Agency in East Haven, CT
• Providers in East Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.