IAN ZETTERVALL (NPI# 1649791310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649791310 |
Entity Type | Individual |
Full Name | IAN ZETTERVALL |
Credential | LPC, LADC |
Practice Address |
9 Covey Rd Burlington CT 06013-1720 |
Mailing Address |
135 Brewster Rd Bristol CT 06010-5212 |
Practice Telephone | 8606300820 |
Mailing Telephone | 8606300820 |
Enumeration Date | 2017-07-03 |
Last Update Date | 2019-06-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 46.003558 | CT | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
001211 | CT | Behavioral Health & Social Service Providers |
Street Address |
9 COVEY RD |
City | BURLINGTON |
State | CT |
Zip Code | 06013-1720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790080265 | David Schwaber D.d.s. | Dentist | 9 Covey Rd, Burlington, CT 06013-1720 | 2011-01-14 |
1598379851 | Elite Smiles Dental Group LLC | Durable Medical Equipment & Medical Supplies | 9 Covey Rd, Burlington, CT 06013-1720 | 2020-09-03 |
1811355704 | Lauren Johnson | Counselor | 9 Covey Rd, Suite 2af, Burlington, CT 06013-1720 | 2016-02-05 |
1508224858 | Kelly Taylor | Counselor | 9 Covey Rd, 2af, Burlington, CT 06013-1720 | 2016-02-02 |
1043684145 | Catalyst Counseling of Connecticut | Clinic/Center | 9 Covey Rd, 2af, Burlington, CT 06013-1720 | 2015-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669610820 | Abraham Shapiro | Optometrist | 21 Polly Dan Road, Burlington, CT 06013 | 2009-01-27 |
1780672220 | Burlington Volunteer Fire Department Inc. | Ambulance | 719 George Washington Turnpike, Burlington, CT 06013-0285 | 2005-10-10 |
1780227520 | Drew Fisher | Student in an Organized Health Care Education/Training Program | 27 School House Hl, Burlington, CT 06013-1308 | 2019-10-24 |
1205339702 | Regional School District #10 | Local Education Agency (LEA) | 24 Lyon Rd, Burlington, CT 06013-1330 | 2018-03-12 |
1346416757 | Thomas E Grant | Psychologist | 10 Katherine Gaylord Ln, Burlington, CT 06013-1409 | 2008-05-06 |
1598170391 | Laura Flax | Speech-Language Pathologist | 39 Barnes Hill Rd, Burlington, CT 06013-1502 | 2014-07-01 |
1235285081 | Diane Marian Mcmillin | Social Worker | 43 Barnes Hill Rd, Burlington, CT 06013-1502 | 2007-01-26 |
1649549734 | Christine M Tully | Pharmacist | 12 Saw Mill Rd, Burlington, CT 06013-1611 | 2011-12-20 |
1538664396 | Steven J Orlowski | Home Health | 9 Yorkshire Way, Burlington, CT 06013-1629 | 2018-03-26 |
1073099339 | Nutmeg Medical | Home Health | 9 Yorkshire Way, Burlington, CT 06013-1629 | 2018-07-19 |
Find all providers in zip 06013 |
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 |
---|---|---|---|---|
1225508153 | Chronic Care Management Services, LLC | Counselor | 1115 S Church St, Burlington, NC 27215-5047 | 2018-12-04 |
1992293617 | Paul Nelson | Counselor | 100 Main St Unit 12, Burlington, VT 05401-8475 | 2018-04-27 |
1295230373 | Connie Jean Mitchell | Counselor | 1867 Huntley Way, Burlington, NC 27215-8591 | 2018-03-29 |
1598116451 | Jennifer Lynn Higgins | Counselor | 1371 Rose Ave Side Entrance, Burlington, CO 80807-1601 | 2016-06-22 |
1639576085 | Victoria Thulman | Counselor | 725 E Fairhaven Ave, Burlington, WA 98233-1914 | 2014-12-01 |
1811338213 | Jessica April Ocasio | Counselor | 41 Linden Rd, Burlington, NJ 08016-1052 | 2013-07-13 |
1629349006 | Kim C Gallagher | Counselor | 10818 Peter Anderson Rd, Burlington, WA 98233-4717 | 2012-01-18 |
1336429422 | Linda May | Counselor | 4715 Sullivan Slough Rd, Burlington, IA 52601-9013 | 2011-08-22 |
1881973378 | Travis S Andrews | Counselor | 236 N Mebane St Ste 125, Burlington, NC 27217-3957 | 2011-08-15 |
1689953218 | Catherine Marie Maclaren | Counselor | 614 Peterson Rd Ste 100, Burlington, WA 98233-2606 | 2011-08-13 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 06013 |
Please comment or provide details below to improve the information on IAN ZETTERVALL.
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.