Merriman Counseling Services LLC
Organization Active NPI Community/Behavioral Health Agency · Falls Village, CT
NPI 1942884069 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1942884069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- MERRIMAN COUNSELING SERVICES LLC
- Practice address
- 55 Route 7 N
Falls Village, CT 06031-1305 - Phone
- (860) 671-7980
- NPI assigned
- May 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Constance J Merriman, LPC
- Title
- Owner
- Phone
- (860) 671-7980
Practitioners 1
-
Constance J Merriman, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240214001865 | CT | Part B Supplier - Clinic/Group Practice | 0648614024 |
Receives reassigned benefits from 1 practitioner Practice locations: Canaan, CT; Falls Village, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
55 Route 7 N
Falls Village, CT 06031-1305
Mailing address
55 Route 7 N
Falls Village, CT 06031-1305
Phone (860) 671-7980
Other names
- Merriman Counseling Services LLC
Other providers in Falls Village, CT
All providers in Falls Village, CT · Community/Behavioral Health Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.