Community Counseling Associates, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

COMMUNITY COUNSELING ASSOCIATES, LLC

Practice address

53 Myano LN
Unit One
Stamford, CT 06902-4535

Phone

(203) 219-1255

NPI assigned

May 1, 2021

Organization subpart

No

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

Authorized official

Name

Gary W Stanek, MS, MA, LMFT

Title

President

Phone

(203) 219-1255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619827200000",
    "number": "1902489511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MYANO LN",
            "address_2": "UNIT ONE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024535",
            "telephone_number": "203-219-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MYANO LN",
            "address_2": "UNIT ONE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024535",
            "telephone_number": "203-219-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-01",
        "last_updated": "2021-05-01",
        "certification_date": "2021-05-01",
        "status": "A",
        "authorized_official_last_name": "STANEK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-219-1255",
        "authorized_official_credential": "MS, MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2021; 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.