INFINITE POTENTIAL COUNSELING, INC NPI 1003422114

Counselor (Mental Health) in Mystic, CT

NPI 1003422114 Organization Counselor Mental Health

About INFINITE POTENTIAL COUNSELING, INC

Infinite Potential Counseling, Inc is a provider established in Mystic, Connecticut specializing in counselor (mental health) . The NPI number of Infinite Potential Counseling, Inc is 1003422114 and was assigned on September 2020. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated one year ago. Infinite Potential Counseling, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mary Parker Lpc (Owner)

A mental health counselor like Infinite Potential Counseling, Inc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

NPI

1003422114

Provider NameINFINITE POTENTIAL COUNSELING, INC
Provider Location Address2 PONS RD MYSTIC, CT 06355
Provider Mailing Address2 PONS RD MYSTIC, CT 06355
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-23-2020
Last Update Date09-23-2020


Primary Taxonomy

Taxonomy Code101YM0800X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health

Business Address

INFINITE POTENTIAL COUNSELING, INC
2 PONS RD
MYSTIC, CT
ZIP 06355
Phone: (860) 961-0952

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Mailing Address

INFINITE POTENTIAL COUNSELING, INC
2 PONS RD
MYSTIC, CT
ZIP 06355
Phone: (860) 961-0952



Authorized Official

Authorized Official Name MARY PARKER LPC
Authorized Official TitleOWNER
Authorized Official Phone(860) 961-0952

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
003254MEDICAID (05)CT

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.