SUPER KIDS CLUB LLC (NPI# 1134396880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134396880 |
Entity Type | Organization |
Organization Name | SUPER KIDS CLUB LLC |
Practice Address |
898 Ethan Allen Hwy Suite 2 Ridgefield CT 06877-2813 |
Practice Telephone | 2034319150 |
Mailing Telephone | 2034319150 |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |
Authorized Official Name | MS. NANCY WIDDOWS (DIRECTOR) |
Authorized Official Telephone | 2034319150 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
898 ETHAN ALLEN HWY SUITE 2 |
City | RIDGEFIELD |
State | CT |
Zip Code | 06877-2813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316963846 | Valerie Larkin | Psychologist | 898 Ethan Allen Hwy, Suite 7, Ridgefield, CT 06877-2813 | 2006-07-15 |
1326297052 | Jane Paulette Elisofon | Social Worker | 898 Ethan Allen Hwy, Suite 5, Ridgefield, CT 06877 | 2008-09-18 |
1023286713 | Roseann Capanna-hodge | Counselor | 898 Ethan Allen Hwy, Suite 6, Ridgefield, CT 06877-2813 | 2008-02-14 |
1649496308 | Ellen G Horowitz | Psychologist | 898 Ethan Allen Hwy, Suite # 5, Ridgefield, CT 06877-2813 | 2007-04-18 |
1497810022 | Judith Arlene Shapiro | Marriage & Family Therapist | 898 Ethan Allen Hwy, Suite 7, Ridgefield, CT 06877-2813 | 2006-12-26 |
1386733491 | Christopher Reynolds | Ophthalmology | 898 Ethan Allen Hwy, Ridgefield, CT 06877-2813 | 2006-10-12 |
1972524874 | Rosemary A. Pinto | Marriage & Family Therapist | 898 Ethan Allen Hwy, Suite 7, Ridgefield, CT 06877-2813 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639653850 | Kari Bradley Lombardo | Physical Therapist | 28 Fieldcrest Drive, Ridgefield, CT 06877 | 2018-09-24 |
1942710868 | Being Centered: Psycological Services, Pllc | Psychologist | 100b Danbury Rd., Ste 105e, Ridgefield, CT 06877 | 2017-10-05 |
1376996587 | Laura Susan Craighead | Social Worker | 90 Bloomer Rd, Ridgefield, CT 06877 | 2016-07-22 |
1760801161 | Haig Dodakian | Physician Assistant | 27 Jefferson Drive, Ridgefield, CT 06877 | 2014-04-14 |
1669895306 | Sharon Fudge Hoffner | Physical Therapist | 250 Ivy Hill Road, Ridgefield, CT 06877 | 2014-01-31 |
1720416910 | Lisa Oths | Counselor | 100 B Danbury Road, Suite 201a, Ridgefield, CT 06877 | 2013-10-24 |
1184059966 | Abigail Quincy Egginton | Naturopath | 100b Danbury Rd, Suite 102, Ridgefield, CT 06877 | 2013-09-11 |
1407110281 | Nicole Steen | Social Worker | 100b Danbury Road, Suite 201a, Ridgefield, CT 06877 | 2012-06-27 |
1023384328 | Kelley Hopkins-alvarez | Counselor | 100b Danbury Rd Suite 201d, Ridgefield, CT 06877 | 2012-03-30 |
1285902387 | Lori Wagner | Clinical Neuropsychologist | 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877 | 2011-12-05 |
Find all providers in zip 06877 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992362727 | Kathryn Sauer | Counselor | 5 Hall St, Ridgefield, WA 98642-3838 | 2019-05-28 |
1255811121 | Anabela Pereira | Counselor | 67 Whipstick Rd, Ridgefield, CT 06877-5009 | 2018-08-20 |
1326536780 | Amber Cuffe | Counselor | 4125 S Settler Dr Apt 152, Ridgefield, WA 98642-5496 | 2018-05-01 |
1215257993 | Cristen Sara Fitzgerald | Counselor | 77 Hunter Ln, Ridgefield, CT 06877-4211 | 2010-06-04 |
1194879346 | Todd R Leguillon | Counselor | 18301 Nw 41st Ave, Ridgefield, WA 98642-8550 | 2007-01-23 |
1528408226 | Patrizia Klein | Counselor | 412 Main St, Suite 10, Ridgefield, CT 06877-4538 | 2013-06-27 |
1538430863 | Nutritional and Behavioral Care | Counselor | 158 Danbury Rd, Suite 4, Ridgefield, CT 06877-3227 | 2012-01-18 |
1942570569 | Erica Georgianne Kasuli | Counselor | 158 Danbury Rd, Suite 4, Ridgefield, CT 06877-3227 | 2012-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316552094 | Aiya Counseling LLC | Counselor | 227 Forest Rd, Storrs Mansfield, CT 06268-1116 | 2020-09-10 |
1093320913 | Lindsay Jean Young | Counselor | 241 Senexet Rd, Woodstock, CT 06281-0628 | 2020-09-09 |
1366056475 | Ends2meet LLC | Counselor | 87 Barry Pl, Rocky Hill, CT 06067-1207 | 2020-09-04 |
1407464894 | Michael Shelby | Counselor | 151 New Park Ave Unit 7, Hartford, CT 06106-2191 | 2020-07-21 |
1447877964 | Victoria Larrieu Sebourne | Counselor | 35 Montauk St, Fairfield, CT 06825-1606 | 2020-06-30 |
1356968903 | Daihany Mejia-bonilla | Counselor | 84 Buckland Dr, Waterbury, CT 06704-1116 | 2020-06-30 |
1003432139 | Anna Frances Sullivan | Counselor | 95a Portland Ave, Redding, CT 06896-3112 | 2020-06-24 |
1467077149 | Valayshia T Brookins | Counselor | 1635 Capitol Ave # 2, Bridgeport, CT 06604-1525 | 2020-06-09 |
1679109219 | Jessica Spar | Counselor | 40 Sand Hill Rd, Bristol, CT 06010-2932 | 2020-03-16 |
1104450519 | Linda Valera | Counselor | 46 W Avon Rd Ste 202, Avon, CT 06001-3679 | 2020-02-24 |
Find all providers with the same taxonomy |
City | RIDGEFIELD |
Zip Code | 06877 |
Please comment or provide details below to improve the information on SUPER KIDS CLUB LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.