Individual provider Active NPI

Cara M Powers, LPC

  • Professional Counselor
  • West Haven, CT
National Provider Identifier
1952433591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001459 Issued in CT
Practice address
417 Campbell Ave Ste 2
West Haven, CT 06516-5000
Phone
(203) 931-1184
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001459 CT Primary

Addresses

Primary practice location

417 Campbell Ave Ste 2
West Haven, CT 06516-5000

Mailing address

417 Campbell Ave Ste 2
West Haven, CT 06516-5000
Phone (203) 931-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240316000075 CT Practitioner - Mental Health Counselor 9032369194 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1459CTMDBehavioral Analyst
001459CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Wellness Behavioral Health Outreach Inc CurrentSince Jan 22, 2024 Accepting new patients
Shoreline Wellness Center, LLC. CurrentSince Jan 22, 2024 Accepting new patients
Shoreline Wellness Behavioral Health Clinic, LLC PastSince Feb 1, 2019 Accepting new patients

Locations

415 Main St
Lowr
West Haven, CT 06516

415 Main St
West Haven, CT 06516
Phone (203) 931-1184

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952433591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 CAMPBELL AVE STE 2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165000",
            "telephone_number": "203-931-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 CAMPBELL AVE STE 2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165000",
            "telephone_number": "203-931-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "CARA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.