Active NPI
Integrity Care and Counseling Services LLC
- Professional Counselor
- Ellington, CT
National Provider Identifier
1942792403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001186
- Legal business name
- INTEGRITY CARE AND COUNSELING SERVICES LLC
- Practice address
- 16 Main St
Ellington, CT 06029-3360 - Phone
- (860) 871-5402
- Fax
- (860) 871-5413
- NPI assigned
- May 31, 2018
- Last updated
- May 31, 2018
- 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
- Mr. Joseph David Boivin, LPC/LADC
- Title
- Psychotherapist
- Phone
- (860) 871-5402
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001186 | CT | Primary |
Addresses
Primary practice location
16 Main St
Ellington, CT 06029-3360
Mailing address
16 Main St
Ellington, CT 06029-3360
Phone (860) 871-5402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003154 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
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, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Ellington, CT
- NPI 1366698722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527724800000",
"number": "1942792403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAIN ST",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060293360",
"telephone_number": "860-871-5402",
"fax_number": "860-871-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MAIN ST",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060293360",
"telephone_number": "860-871-5402",
"fax_number": "860-871-5413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRITY CARE AND COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A",
"authorized_official_last_name": "BOIVIN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "860-871-5402",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC/LADC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008003154",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.