Southern Connecticut Christian Counseling Center
NPI 1164652871 · Community/Behavioral Health Agency · Fairfield, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Connecticut Christian Counseling Center is a Community/Behavioral Health Agency organization in Fairfield, CT (NPI 1164652871).
Provider details
- NPI number
- 1164652871
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Duane Kellogg, Director(203) 255-5078
Specialties & taxonomies
Agencies
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renew Counseling Associates
Registry dates
- Enumerated
- 2009-07-16
- Last updated
- 2015-02-19
Frequently asked questions
- What is Southern Connecticut Christian Counseling Center's NPI number?
- Southern Connecticut Christian Counseling Center's National Provider Identifier (NPI) is 1164652871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Connecticut Christian Counseling Center?
- Southern Connecticut Christian Counseling Center is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Southern Connecticut Christian Counseling Center located?
- Southern Connecticut Christian Counseling Center's practice location on file with NPPES is 8 Wakeman Rd, Fairfield, CT 06824-5120.
- What is Southern Connecticut Christian Counseling Center's phone number?
- The practice phone number listed in the NPPES registry for Southern Connecticut Christian Counseling Center is (203) 255-5078.
- Does Southern Connecticut Christian Counseling Center accept Medicare?
- Southern Connecticut Christian Counseling Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Connecticut Christian Counseling Center?
- The authorized official listed on Southern Connecticut Christian Counseling Center's NPPES record is Duane Kellogg, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Connecticut Christian Counseling Center's NPI active?
- Yes — Southern Connecticut Christian Counseling Center's NPI (1164652871) is active in the NPPES registry as of the last update on 2015-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.