NPIMap

Organization Active NPI

Connecticut Counseling Centers, Inc.

  • Adult Mental Health Clinic/Center
  • Waterbury, CT
National Provider Identifier
1982720702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHDT0031 Issued in CT
Legal business name
CONNECTICUT COUNSELING CENTERS, INC.
Practice address
4 Midland Rd
Waterbury, CT 06705-3412
Phone
(203) 755-8874
Fax
(203) 597-9570
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Bilangi
Title
Executive Director-President
Phone
(203) 743-4698

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X C0273 CT
Adult Mental Health Clinic/Center 261QM0850X MHDT0031 CT Primary
Adult Mental Health Clinic/Center 261QM0850X SA0200 CT

Addresses

Primary practice location

4 Midland Rd
Waterbury, CT 06705-3412

Mailing address

4 Midland Rd
Waterbury, CT 06705-3412
Phone (203) 755-8874

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Counseling25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982720702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MIDLAND RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053412",
            "telephone_number": "203-755-8874",
            "fax_number": "203-597-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MIDLAND RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053412",
            "telephone_number": "203-755-8874",
            "fax_number": "203-597-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT COUNSELING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILANGI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR-PRESIDENT",
        "authorized_official_telephone_number": "203-743-4698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "C0273",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "MHDT0031",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "SA0200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.