MRS. NANCY VAIL ANSTROM (NPI# 1205920022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205920022 |
| Entity Type | Individual |
| Full Name | MRS. NANCY VAIL ANSTROM |
| Credential | LPC |
| Practice Address |
616 Goldstar Hwy Groton CT 06340 |
| Practice Telephone | 8604490200 |
| Practice Fax Number | 8604491954 |
| Mailing Telephone | 8604490200 |
| Mailing Fax Number | 8604491954 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
001394 | CT | Behavioral Health & Social Service Providers |
| Street Address |
616 GOLDSTAR HWY |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205936390 | Judith L. Farrington | Marriage & Family Therapist | 616 Goldstar Hwy, Groton, CT 06340 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129674 | Cherie Ditmer | Counselor | 787 Poquonnock Rd Apt S, Groton, CT 06340-4557 | 2020-06-19 |
| 1659798478 | Danielle Escobar | Counselor | 111 Spyglass Cir, Groton, CT 06340-6212 | 2014-03-19 |
| 1366760605 | Pequot Counseling Center, LLC | Counselor | 230 Prospect Hill Rd, Groton, CT 06340-5545 | 2010-05-11 |
| 1194052985 | Julie B. Bean, LLC | Counselor | 85 Brook St, Groton, CT 06340-5514 | 2009-11-16 |
| 1083713119 | Lisa Marie Tonnessen | Counselor | 616 Goldstar Hgwy, Shoreline Counseling, Groton, CT 06340 | 2006-09-22 |
| 1194323295 | Rachel Marie Powell | Counselor | 611a Long Hill Rd, Groton, CT 06340-4138 | 2020-10-12 |
| 1437714730 | Coastal Therapy, LLC | Counselor | 428 Long Hill Rd Ste 201, Groton, CT 06340-3811 | 2019-05-02 |
| 1821513193 | Sarah Faucher Lpc, LLC | Counselor | 428 Long Hill Rd, Groton, CT 06340-3811 | 2017-08-08 |
| 1356879696 | Catherine M. Reinhardt, Phd, LLC | Counselor | 495 Gold Star Hwy Ste 324, Groton, CT 06340-6230 | 2017-05-31 |
| 1306373162 | Catherine M Reinhardt | Counselor | 495 Gold Star Hwy, Groton, CT 06340-6228 | 2017-05-11 |
| Find all providers in GROTON | ||||
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| 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.