Active NPIOrganization

The Family Counseling & Mediation Center, LLC

Counselor, Mental Health in Derby, Connecticut

NPI Number1245448323
Practice location
435 New Haven Ave, Derby, CT 06418-2534
Fax
203-736-6734
Last updated
September 11, 2025

The Family Counseling & Mediation Center, LLC is a healthcare organization based in Derby, CT. The Family Counseling & Mediation Center, LLC practices in Derby, CT. The NPI Number for The Family Counseling & Mediation Center, LLC is 1245448323 and holds a License No. 001119 (CT). The current practice location address for The Family Counseling & Mediation Center, LLC is 435 New Haven Ave, Derby, CT 06418-2534 and can be reached out via phone at 203-736-6734 and via fax at 203-736-6734.

Provider Profile Details

NPI Number
1245448323
Provider Name
The Family Counseling & Mediation Center, LLC
Provider Entity Type
Organization
Address
435 New Haven Ave, Derby, CT 06418-2534
Phone Number
203-736-6734
Fax Number
203-736-6734
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Karlene Chisholm, LMFT · Owner · 203-736-6734
Provider Enumeration Date
May 20, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 New Haven Ave
Derby, CT 06418-2534
City
Derby
Zip
06418-2534
Phone Number
203-736-6734
Fax Number
203-736-6734
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
435 New Haven Ave
Derby, CT 06418-2534
City
Derby
State
CT
Zip
06418-2534
Phone Number
203-736-6734
Fax Number
203-736-6734

License Information

License Number (1)
001119
License State (1)
CT
Taxonomy (1)
Marriage & Family Therapist · 106H00000X
License Number (2)
001119
License State (2)
CT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of The Family Counseling & Mediation Center, LLC?

The NPI number of The Family Counseling & Mediation Center, LLC is 1245448323. It was assigned on May 20, 2007 and is currently active in the NPPES registry.

What is the specialty of The Family Counseling & Mediation Center, LLC?

The Family Counseling & Mediation Center, LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 001119.

Where does The Family Counseling & Mediation Center, LLC practice?

The practice location is 435 New Haven Ave, Derby, CT 06418-2534. The office can be reached at 203-736-6734 (phone) or 203-736-6734 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245448323 directly on the NPPES registry website.

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