Organization Active NPI

Silvermine Therapy LLC

  • Mental Health Counselor
  • New Canaan, CT
National Provider Identifier
1902505803
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SILVERMINE THERAPY LLC
Practice address
107 Devonwood LN
New Canaan, CT 06840-3337
Phone
(203) 331-5999
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Kristie Wallace Smith, LMSWNPI 1447957972
Title
Licensed Master of Social Work
Phone
(203) 331-5999

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

107 Devonwood LN
New Canaan, CT 06840-3337

Mailing address

24 East Ave # 221
New Canaan, CT 06840-5529

National Provider Directory

National Provider Directory

Locations

24 East Ave
New Canaan, CT 06840

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1902505803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 EAST AVE # 221",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DEVONWOOD LN",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068403337",
            "telephone_number": "203-331-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERMINE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "LICENSED MASTER OF SOCIAL WORK",
        "authorized_official_telephone_number": "203-331-5999",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.