Active NPI
New Hope Wellness, PLLC
- Community/Behavioral Health Agency
- Clinton, CT
National Provider Identifier
1932807294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NEW HOPE WELLNESS, PLLC
- Practice address
- 27 James Vincent Dr
Clinton, CT 06413-1258 - Phone
- (203) 640-7809
- NPI assigned
- Feb 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jody M Farrell, LPC
- Title
- License Professional Counselor
- Phone
- (203) 640-7809
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
27 James Vincent Dr
Clinton, CT 06413-1258
Mailing address
27 James Vincent Dr
Clinton, CT 06413-1258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669719563 | Medicaid | CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Clinton, CT
- NPI 1669719563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1932807294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 JAMES VINCENT DR",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 JAMES VINCENT DR",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131258",
"telephone_number": "203-640-7809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HOPE WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-16",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "203-640-7809",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669719563",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.