NPIMap

Organization Active NPI

Well Life Therapy, LLC

  • Professional Counselor
  • Middletown, CT
National Provider Identifier
1972964898
Registry record updated Mar 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001158 Issued in CT
Legal business name
WELL LIFE THERAPY, LLC
Practice address
79 Mill St
Suite 202 West
Middletown, CT 06457-4468
Phone
(860) 930-3598
NPI assigned
Mar 20, 2016
Last updated
Mar 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2016

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

Authorized official

Name
Julie Karena Jones, PH.D., LPCNPI 1780788422
Title
Owner/Managing Member
Phone
(860) 930-3598

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 Counselor 101YP2500X 001158 CT Primary

Addresses

Primary practice location

79 Mill St
Suite 202 West
Middletown, CT 06457-4468

Mailing address

79 Mill St
Suite 202 West
Middletown, CT 06457-4468
Phone (860) 930-3598

National Provider Directory

National Provider Directory

Locations

1224 Mill St
Ste D200
East Berlin, CT 06023
Phone (860) 258-6060

79 Mill St
Ste 202
Middletown, CT 06457
Phone (860) 930-3598

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458432000000",
    "number": "1972964898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MILL ST",
            "address_2": "SUITE 202 WEST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574468",
            "telephone_number": "860-930-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MILL ST",
            "address_2": "SUITE 202 WEST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574468",
            "telephone_number": "860-930-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-20",
        "last_updated": "2016-03-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KARENA",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "860-930-3598",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2016; 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.