CONNECTICUT COUNSELING CENTERS INC (NPI# 1215441597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215441597 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT COUNSELING CENTERS INC |
| Practice Address |
50 Brookside Rd Waterbury CT 06708-1402 |
| Practice Telephone | 2035687466 |
| Practice Fax Number | 2035687468 |
| Mailing Telephone | 2035687466 |
| Mailing Fax Number | 2035687468 |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2017-11-26 |
| Authorized Official Name | JASON BRADWAY (DIRECTOR INFORMATION SYSTEMS) |
| Authorized Official Telephone | 2035687466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
0533 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICUT DEPT PUBLIC HEALTH | 0533 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831960 | Connecticut Counseling Centers Inc | Clinic/Center | 15 Commerce Rd Lowr 1, Stamford, CT 06902-4553 | 2018-05-18 |
| 1285116707 | Connecticut Counseling Centers Inc | Clinic/Center | 290 Pratt St Ste 2312, Meriden, CT 06450-8600 | 2018-08-31 |
| 1447741889 | Connecticut Counseling Centers Inc | Clinic/Center | 15 Commerce Rd Lowr 1, Stamford, CT 06902-4553 | 2018-05-22 |
| 1770097867 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-28 |
| 1598279689 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-28 |
| 1023302171 | Connecticut Counseling Centers Inc | Clinic/Center | 60 Beaver Brook Rd, Danbury, CT 06810-6239 | 2011-06-07 |
| 1871619676 | Connecticut Counseling Centers Inc | Clinic/Center | 4 Midland Rd, Waterbury, CT 06705-3412 | 2007-03-22 |
| Street Address |
50 BROOKSIDE RD |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588705990 | Edite Ramos Duarte | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2007-02-09 |
| 1477189660 | Kyle L Akeley | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2020-03-19 |
| 1578195780 | Samantha Boisvert | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2020-02-05 |
| 1821628959 | Samantha Gawlas | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2020-01-16 |
| 1164080420 | Adam Enoch | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-06-03 |
| 1801454350 | Danielle Rousseau | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-05-30 |
| 1487212957 | Maria Camila Rivera Montoya | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-05-30 |
| 1417416165 | Yisroel Mordechai Lyss | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-03-12 |
| 1295208569 | Amanda Green | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-01-09 |
| 1407329345 | Tanya Chirsky | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104942481 | Connecticut Counseling Centers, Inc. | Clinic/Center | 4 Midland Rd, Waterbury, CT 06705-3412 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316067481 | Liberation Programs Inc | Clinic/Center | 399 Mill Hill Ave, Bridgeport, CT 06610-2865 | 2007-03-30 |
| 1205952314 | Connecticut Counseling Centers, Inc. | Clinic/Center | 60 Beaver Brook Rd, Danbury, CT 06810-6239 | 2007-03-21 |
| 1144769449 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1780919951 | New Era Rehabilitation Center, Inc Nh | Clinic/Center | 311 East St, New Haven, CT 06511-5838 | 2009-10-06 |
| 1487889655 | Apt Foundation Inc | Clinic/Center | 1 Long Wharf Dr, Suite 10, New Haven, CT 06511-5991 | 2009-05-18 |
| 1043421985 | Chemical Abuse Services Agency, Inc. | Clinic/Center | 426 East St, New Haven, CT 06511-5018 | 2007-05-24 |
| 1730202516 | Hartford Dispensary | Clinic/Center | 345 Main St, Hartford, CT 06106-1824 | 2007-04-09 |
| 1649390733 | Liberation Programs Inc | Clinic/Center | 115 Main St, Stamford, CT 06901-2818 | 2007-03-30 |
| 1073639266 | Connecticut Counseling Centers, Inc | Clinic/Center | 20 N Main St, Norwalk, CT 06854-2656 | 2007-03-21 |
| 1144386442 | Apt Foundation, Inc | Clinic/Center | 495 Congress Ave, New Haven, CT 06519-1312 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
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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.