NPIMap

Organization Active NPI

Ckrcounseling, LLC

  • Clinical Social Worker
  • Bethany, CT
National Provider Identifier
1962965103
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CKRCOUNSELING, LLC
Practice address
649 Amity Rd Unit 103
Bethany, CT 06524-3091
Phone
(475) 227-9014
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Cybil Ryan, LCSW
Title
Owner, Sole Member
Phone
(475) 227-9014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

649 Amity Rd Unit 103
Bethany, CT 06524-3091

Mailing address

85 Sorghum Mill Dr
Cheshire, CT 06410-3052
Phone (474) 227-9014

National Provider Directory

National Provider Directory

Locations

649 Amity Rd
Unit 103
Bethany, CT 06524
Phone (203) 444-1439

Practitioners & affiliated clinicians

Practitioners 3

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": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1962965103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SORGHUM MILL DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103052",
            "telephone_number": "474-227-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 AMITY RD UNIT 103",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243091",
            "telephone_number": "475-227-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKRCOUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CYBIL",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "475-227-9014",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.