JESSICA BROUSSEAU (NPI# 1649737214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649737214 |
| Entity Type | Individual |
| Full Name | JESSICA BROUSSEAU |
| Credential | LPC |
| Practice Address |
75 Englewood Ave West Hartford CT 06110-1123 |
| Practice Telephone | 3862372667 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3685 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
75 ENGLEWOOD AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1962903492 | Mitchell Graham | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110 | 2018-02-21 |
| 1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
| 1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
| 1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
| 1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
| Find all providers in zip 06110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236277 | Climbing Out Solutions, LLC | Counselor | 998 Farmington Ave Ste 104, West Hartford, CT 06107-2184 | 2020-05-11 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1932678919 | Pinnacle Behavioral Health, PC | Counselor | 345 N Main St Ste 317, West Hartford, CT 06117-2508 | 2018-11-19 |
| 1659865798 | Sieger Counseling Services, LLC | Counselor | 45 S Main St Ste 300, West Hartford, CT 06107-2402 | 2018-06-21 |
| 1346780343 | Jim Hughes | Counselor | 41 Crossroads Plz # 300, West Hartford, CT 06117-2402 | 2017-02-24 |
| 1407239825 | Lorraine Greenfield | Counselor | 15 King Edward Rd, West Hartford, CT 06117-1418 | 2015-07-02 |
| 1083997845 | Theanvy Kuoch | Counselor | 1125 New Britain Avenue, Suite 202, West Hartford, CT 06110-2440 | 2011-09-27 |
| 1144541012 | Lynne Tobin | Counselor | 47 Ledyard Rd, West Hartford, CT 06117-1712 | 2010-06-15 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1629307913 | Jessica Uziemblo | Counselor | 2475 Albany Ave, Suite 203b, West Hartford, CT 06117-2520 | 2009-12-15 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06110 |
Please comment or provide details below to improve the information on JESSICA BROUSSEAU.
| 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.