NPIMap

Organization Active NPI

Community Matters, LLC

  • Professional Counselor
  • East Hartford, CT
National Provider Identifier
1972020295
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003265 Issued in CT
Legal business name
COMMUNITY MATTERS, LLC
Practice address
205 Burnside Ave Ste 204
East Hartford, CT 06108-2355
Phone
(860) 282-8882
Fax
(860) 282-8890
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Tangie R. McDougald, LPCNPI 1063878858
Title
Owner
Phone
(860) 282-8882

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 003265 CT Primary

Addresses

Primary practice location

205 Burnside Ave Ste 204
East Hartford, CT 06108-2355

Mailing address

122 Harbison Ave
Hartford, CT 06106-3013
Phone (860) 944-4444

Other names 1

  • Tangie R. McDougald Doing business as

National Provider Directory

National Provider Directory

Locations

205 Burnside Ave
Ste 204
East Hartford, CT 06108
Phone (860) 282-8882

Practitioners & affiliated clinicians

Practitioners 2

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": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1972020295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HARBISON AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063013",
            "telephone_number": "860-944-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BURNSIDE AVE STE 204",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082355",
            "telephone_number": "860-282-8882",
            "fax_number": "860-282-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MATTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALD",
        "authorized_official_first_name": "TANGIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-282-8882",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tangie R. McDougald",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.