KERITH BROOK COUNSELING, LLC – NPI #1417711847
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

KERITH BROOK COUNSELING, LLC is an AHC clinic located in WEST HARTFORD, CT. NPPES has assigned the NPI number 1417711847 to KERITH BROOK COUNSELING, LLC on February 07, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Mar 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KERITH BROOK COUNSELING, LLC below.

NPI Profile for
KERITH BROOK COUNSELING, LLC

NPI Number
1417711847
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KERITH BROOK COUNSELING, LLC
Primary location
9 CODY STREET
WEST HARTFORD, CT 06110
Phone: (860) 288-7017 Fax: (860) 288-7017
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETA LAWSON
CLINICAL DIRECTOR/OWNER
Phone: (860) 288-7017
Updated
Certification Date
Mar 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.