CONNECTICUT COUNSELING CENTERS INC
NPI 1356831960
Clinic/Center - Rehabilitation, Substance Use Disorder in Stamford, CT

NPI Status: Active since May 18, 2018

Contact Information

15 COMMERCE RD LOWR 1
STAMFORD, CT
ZIP 06902
Phone: (203) 653-3808
Fax: (203) 653-3809

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 07D1013874
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 08-18-2027

About CONNECTICUT COUNSELING CENTERS INC

This page provides the complete NPI Profile along with additional information for Connecticut Counseling Centers Inc, a provider established in Stamford, Connecticut operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1356831960 assigned on May 2018. The practitioner's primary taxonomy code is 261QR0405X with license number SA0567 (CT). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Jason Bradway (Director Of Information Systems)

NPI
1356831960
Provider Name
CONNECTICUT COUNSELING CENTERS INC
Entity Type
Organization
Location Address
15 COMMERCE RD LOWR 1 STAMFORD, CT 06902
Location Phone
(203) 653-3808
Location Fax
(203) 653-3809
Mailing Address
50 BROOKSIDE RD WATERBURY, CT 06708
Mailing Phone
(203) 568-7466
Mailing Fax
(203) 653-3809
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2018
Last Update Date
05-18-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
SA0567
License State
CT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

C0677 (CT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON BRADWAY

Authorized Official Title
DIRECTOR OF INFORMATION SYSTEMS
Authorized Official Phone
(203) 568-7466

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0677OTHER (01)CTCT DEPARTMENT OF PUBLIC HEALTH
SA0567OTHER (01)CTCT DEPTARTMENT PUBLIC HEALTH

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D1013874
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
August 19, 2025
Certificate Expiration Date
August 18, 2027
Laboratory Director
ROBERT C. LAMBERT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Connecticut Counseling Centers Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356831960, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 6 + 3 + 2 + 9 + 1 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1356831960.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Primary Care)
15 COMMERCE RD LOWR 1
STAMFORD, CT 06902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356831960, enumerated as an "organization" on May 18, 2018.

The provider is located at 15 COMMERCE RD LOWR 1 STAMFORD, CT 06902 and the phone number is (203) 653-3808.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.