CHRISTIAN COUNSELING CENTER OF SE CT, INC. (NPI# 1871677484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871677484 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COUNSELING CENTER OF SE CT, INC. |
| Practice Address |
214b Thames St Groton CT 06340-3632 |
| Practice Telephone | 8604491382 |
| Practice Fax Number | 8604491384 |
| Mailing Telephone | 8604491382 |
| Mailing Fax Number | 8604491384 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHEN JEFFREY BREWER (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 8604491382 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 000555 | CT | Behavioral Health & Social Service Providers |
| Street Address |
214B THAMES ST |
| City | GROTON |
| State | CT |
| Zip Code | 06340-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407918725 | Stephen Jeffrey Brewer | Marriage & Family Therapist | 214b Thames St, Groton, CT 06340-3632 | 2006-12-14 |
| 1598827891 | Peggy B. Van Der Swaagh | Marriage & Family Therapist | 214b Thames St, Groton, CT 06340-3632 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851827364 | Tranquility Therapy, LLC | Marriage & Family Therapist | 10 Fort Hill Rd, Groton, CT 06340-4723 | 2017-05-03 |
| 1710309554 | Lisa Degraff | Marriage & Family Therapist | 333 Long Hill Rd # 2, Groton, CT 06340-3823 | 2014-01-14 |
| 1831526110 | Dale E Kingsley | Marriage & Family Therapist | 541 Eastern Point Rd, Suite 2, Groton, CT 06340-5158 | 2013-10-02 |
| 1336214329 | Jennifer L. Spreng | Marriage & Family Therapist | 52 Bayberry Ln, Groton, CT 06340-6002 | 2006-11-22 |
| 1215001243 | Michelle A Bussolotti | Marriage & Family Therapist | 489 Gold Star Hwy Ste 209, Groton, CT 06340-6227 | 2006-11-20 |
| 1205936390 | Judith L. Farrington | Marriage & Family Therapist | 616 Goldstar Hwy, Groton, CT 06340 | 2006-09-25 |
| 1548365125 | Mary Hart | Marriage & Family Therapist | 489 Gold Star Hwy, Groton, CT 06340-6227 | 2006-09-14 |
| 1013028661 | Steven David Goldberg | Marriage & Family Therapist | 481 Gold Star Highway, Suite 301, Groton, CT 06340 | 2006-08-31 |
| 1770109324 | Kim L. Adams | Marriage & Family Therapist | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2020-06-19 |
| 1629691621 | Emberleigh Lyn Luce | Marriage & Family Therapist | 4 Fort Hill Rd, Groton, CT 06340-4723 | 2020-05-26 |
| Find all providers in GROTON | ||||
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| 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.