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COLLABORATIVE CHANGE COUNSELING AND WELLNESS, LLC
NPI 1831630235
Counselor - Professional in Hamden, CT

Active since March 17, 2017
375 MATHER ST, HAMDEN, CT 06514(203) 745-0733 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2019, Mar 17, 2017 (2 updates tracked since 2017).

About Collaborative Change Counseling And Wellness, Llc NPPES

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

COLLABORATIVE CHANGE COUNSELING AND WELLNESS, LLC (NPI 1831630235) is a healthcare organization registered as a professional in Hamden, Connecticut and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Hamden and lists Jennifer A Y Johnston, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1831630235
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCOLLABORATIVE CHANGE COUNSELING AND WELLNESS, LLC
Location Address375 MATHER STHamden, CT 06514-3101
Mailing Address375 Mather StHamden, CT 06514-3101 · (203) 745-0733
Phone(203) 745-0733
Organization SubpartNo
Authorized OfficialJennifer A Y JohnstonSole Proprietor · (617) 699-3101
Enumeration DateMarch 17, 2017
Last NPPES UpdateMarch 8, 20192 updates tracked since enumeration
✔ NPI 1831630235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 2205
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7570 (MA)
375 MATHER ST, Hamden, CT 06514
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Secondary Practice Location 1

Location 1125 Hepburn RdHamden, CT 06517-2925 · Phone (617) 699-3101

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENNIFER ANN JOHNSTON M.A.
Counselor (Mental Health)
375 MATHER ST, SUITE 2
HAMDEN, CT 06514
South Central Connecticut Planning Region (617) 699-3101
MS. ELLEN SCHENZER LMFT
Marriage & Family Therapist
375 MATHER ST
HAMDEN, CT 06514
South Central Connecticut Planning Region (203) 417-6594
MRS. BRANWEN O'SHEA-REFAI L.C.S.W
Social Worker (Clinical)
375 MATHER ST
HAMDEN, CT 06514
South Central Connecticut Planning Region (203) 288-7347
EARTH DANCE, LLC
Social Worker (Clinical)
375 MATHER ST, SUITE 2
HAMDEN, CT 06514
South Central Connecticut Planning Region (203) 288-7347
MC COUNSELING AND WELLNESS, LLC
Social Worker (Clinical)
375 MATHER ST
HAMDEN, CT 06514
South Central Connecticut Planning Region (203) 695-5914
KELLY CHRISTINE JOHNSON
Counselor (Professional)
375 MATHER ST
HAMDEN, CT 06514
South Central Connecticut Planning Region (203) 745-0733

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 Collaborative Change Counseling And Wellness, LLC's NPI number?

The NPI number for Collaborative Change Counseling And Wellness, LLC is 1831630235. It was assigned to this organization in the NPPES registry on March 17, 2017.

Where is Collaborative Change Counseling And Wellness, LLC located?

Collaborative Change Counseling And Wellness, LLC is located at 375 Mather St, Hamden, CT 06514. The listed phone number is (203) 745-0733.

What is Collaborative Change Counseling And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Collaborative Change Counseling And Wellness, LLC was last updated on March 8, 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.