MS. MARY ANNE LISA COSTERELLA (NPI# 1326212143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326212143 |
| Entity Type | Individual |
| Full Name | MS. MARY ANNE LISA COSTERELLA |
| Credential | M.A., LADC |
| Practice Address |
377 Hubbard St 2nd Floor Glastonbury CT 06033-3078 |
| Practice Telephone | 8606571131 |
| Mailing Telephone | 8606571131 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
#000527 | CT | Behavioral Health & Social Service Providers |
| Street Address |
377 HUBBARD ST 2ND FLOOR |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598852071 | Kristen Marie Helin | Psychologist | 377 Hubbard St, Glastonbury, CT 06033-3078 | 2006-10-06 |
| 1578844809 | Marcie J Mauro | Marriage & Family Therapist | 377 Hubbard St, Glastonbury, CT 06033-3078 | 2011-08-31 |
| 1669768677 | Kimberly Ann Doyle | Social Worker | 377 Hubbard St, Glastonbury, CT 06033-3078 | 2011-06-28 |
| 1174849293 | Synergy Psychology Group, LLC | Psychologist | 377 Hubbard St, Glastonbury, CT 06033-3078 | 2010-04-14 |
| 1659694206 | Elizabeth Holly Schaff | Psychologist | 377 Hubbard St, Glastonbury, CT 06033-3078 | 2010-03-10 |
| 1104157767 | Doris Irene Laplante | Social Worker | 377 Hubbard St, Glastonbury, CT 06033-3078 | 2010-01-21 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316561 | Jeffrey Stickles | Counselor | 240 Cavan Ln, Glastonbury, CT 06033-2405 | 2017-02-26 |
| 1275842882 | S Ashley Thompson | Counselor | 11 Harvest Ln, Glastonbury, CT 06033-1721 | 2010-09-29 |
| 1972833077 | Jami C Harel | Counselor | 110 National Drive, Glastonbury, CT 06033-1212 | 2010-01-12 |
| 1346405289 | Sheryll Ann Waring | Counselor | 352 Griswold Street, 3rd Floor, Glastonbury, CT 06033 | 2008-07-21 |
| 1982946208 | Filloramowellness Consulting LLC | Counselor | 200 Oak St, Glastonbury, CT 06033-2320 | 2013-03-25 |
| 1023373248 | Pamela Mulready | Counselor | 122a Naubuc Ave, Glastonbury, CT 06033-4246 | 2012-07-13 |
| 1023372927 | Michael Steady | Counselor | 122a Naubuc Ave, Suite 210, Glastonbury, CT 06033-4246 | 2012-06-26 |
| 1184999401 | Laura Christine Zeppieri | Counselor | 110 National Dr, Glastonbury, CT 06033-4371 | 2012-03-20 |
| 1619296696 | A Rising Star Counseling Services | Counselor | 25 Concord St, Glastonbury, CT 06033-2135 | 2010-05-31 |
| 1962697359 | Jo-ellen Sajek | Counselor | 1420 Main St, Suite 201, Glastonbury, CT 06033-3110 | 2007-09-10 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on MS. MARY ANNE LISA COSTERELLA.
| 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.