Organization Active NPI

Courageous Counseling LLC

  • Clinical Social Worker
  • Glastonbury, CT
National Provider Identifier
1942020375
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COURAGEOUS COUNSELING LLC
Practice address
41C New London Tpke Ste 4
Glastonbury, CT 06033-4209
Phone
(475) 331-9065
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Lindsey Monique Desorbo, LCSWNPI 1871958173
Title
Ceo/Manager
Phone
(475) 331-9065

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

41C New London Tpke Ste 4
Glastonbury, CT 06033-4209

Mailing address

41C New London Tpke Ste 4
Glastonbury, CT 06033-4209
Phone (475) 331-9065

National Provider Directory

National Provider Directory

Locations

41C New London Tpke
Ste 4
Glastonbury, CT 06033
Phone (475) 331-9065

Practitioners & affiliated clinicians

Practitioners 1

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": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1942020375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41C NEW LONDON TPKE STE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334209",
            "telephone_number": "475-331-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41C NEW LONDON TPKE STE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334209",
            "telephone_number": "475-331-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "DESORBO",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "475-331-9065",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.