BONNIE LILLIS (NPI# 1154599629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154599629 |
| Entity Type | Individual |
| Full Name | BONNIE LILLIS |
| Credential | BA |
| Practice Address |
110 National Dr Glastonbury CT 06033-4371 |
| Mailing Address |
50 Griswold St New Britain CT 06052-2008 |
| Practice Telephone | 8604305515 |
| Practice Fax Number | 8604309754 |
| Mailing Telephone | 8602245267 |
| Mailing Fax Number | 8602245752 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
110 NATIONAL DR |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125229 | Eileen Medina | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2020-02-04 |
| 1356981831 | Alison Burge | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2020-01-13 |
| 1942787080 | Natalie Marynczak | Social Worker | 110 National Dr, Glastonbury, CT 06033-4371 | 2018-07-22 |
| 1841724325 | Chantaul Tamar Smith | Marriage & Family Therapist | 110 National Dr, Glastonbury, CT 06033-4371 | 2017-04-12 |
| 1548628852 | Nicole Rafala | Social Worker | 110 National Dr, Glastonbury, CT 06033-4371 | 2016-02-01 |
| 1184979130 | Jessica Pietrasiewicz | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2012-07-16 |
| 1184999401 | Laura Christine Zeppieri | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2012-03-20 |
| 1710272414 | Kelly O'connell-seagraves | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2011-06-10 |
| 1346550977 | New England Center for C.b.t. & Psychiatry | Community/Behavioral Health | 110 National Dr, Glastonbury, CT 06033-4371 | 2010-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1871125229 | Eileen Medina | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2020-02-04 |
| 1356981831 | Alison Burge | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2020-01-13 |
| 1053852137 | Sheryll Waring Lpc Ladc LLC | Counselor | 33 Pratt St, Glastonbury, CT 06033-1014 | 2017-03-09 |
| 1073965661 | Tavia Briscoe | Counselor | 33 Pratt St, Glastonbury, CT 06033-1014 | 2016-07-07 |
| 1376910364 | Nathan Paul Grandpre | Counselor | 117 New London Tpke, Glastonbury, CT 06033 | 2015-08-26 |
| 1902115876 | Laurie Catherine Pels-roulier | Counselor | 200 Oak St, Glastonbury, CT 06033-2320 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552094 | Aiya Counseling LLC | Counselor | 227 Forest Rd, Storrs Mansfield, CT 06268-1116 | 2020-09-10 |
| 1093320913 | Lindsay Jean Young | Counselor | 241 Senexet Rd, Woodstock, CT 06281-0628 | 2020-09-09 |
| 1366056475 | Ends2meet LLC | Counselor | 87 Barry Pl, Rocky Hill, CT 06067-1207 | 2020-09-04 |
| 1407464894 | Michael Shelby | Counselor | 151 New Park Ave Unit 7, Hartford, CT 06106-2191 | 2020-07-21 |
| 1447877964 | Victoria Larrieu Sebourne | Counselor | 35 Montauk St, Fairfield, CT 06825-1606 | 2020-06-30 |
| 1356968903 | Daihany Mejia-bonilla | Counselor | 84 Buckland Dr, Waterbury, CT 06704-1116 | 2020-06-30 |
| 1003432139 | Anna Frances Sullivan | Counselor | 95a Portland Ave, Redding, CT 06896-3112 | 2020-06-24 |
| 1467077149 | Valayshia T Brookins | Counselor | 1635 Capitol Ave # 2, Bridgeport, CT 06604-1525 | 2020-06-09 |
| 1679109219 | Jessica Spar | Counselor | 40 Sand Hill Rd, Bristol, CT 06010-2932 | 2020-03-16 |
| 1104450519 | Linda Valera | Counselor | 46 W Avon Rd Ste 202, Avon, CT 06001-3679 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on BONNIE LILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.