OUR COMMUNITY COUNSELING LLC
NPI 1235668096
Social Worker - Clinical in Woodbridge, CT

Active since June 06, 2017
30 HAZEL TER STE J, WOODBRIDGE, CT 06525(203) 787-8812(203) 367-7721 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2019, Jun 6, 2017 (2 updates tracked since 2017).

About Our Community Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUR COMMUNITY COUNSELING LLC (NPI 1235668096) is a healthcare organization registered as a clinical in Woodbridge, Connecticut and active in the NPI registry since June 2017. The organization lists Shamar J Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1235668096
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOUR COMMUNITY COUNSELING LLC
Location Address30 HAZEL TER STE JWoodbridge, CT 06525-2240
Mailing AddressPo Box 3301New Haven, CT 06515-0401 · (203) 787-8812 · Fax (203) 387-7721
Fax(203) 367-7721
Organization SubpartNo
Authorized OfficialShamar J YoungOwner · (203) 787-8812
Enumeration DateJune 6, 2017
Last NPPES UpdateMay 21, 20192 updates tracked since enumeration
✔ NPI 1235668096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
30 HAZEL TER STE J, Woodbridge, CT 06525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Our Community Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Our Community Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1760732085
30 HAZEL TER STE J
Woodbridge, CT 06525
(203) 787-8812
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Our Community Counseling LLC's NPI number?

The NPI number for Our Community Counseling LLC is 1235668096. It was assigned to this organization in the NPPES registry on June 6, 2017.

Where is Our Community Counseling LLC located?

Our Community Counseling LLC is located at 30 Hazel Ter Ste J, Woodbridge, CT 06525. The listed phone number is (203) 787-8812.

What is Our Community Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Our Community Counseling LLC enrolled in Medicare?

Yes. Our Community Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Our Community Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Our Community Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Our Community Counseling LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Our Community Counseling LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Our Community Counseling LLC was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.