RENEA MICHELLE TIRRELL (NPI# 1821354952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821354952 |
| Entity Type | Individual |
| Full Name | RENEA MICHELLE TIRRELL |
| Credential | LADC |
| Practice Address |
344 Watertown Rd Thomaston CT 06787-1921 |
| Mailing Address |
191 Lynnrich Dr Thomaston CT 06787-1032 |
| Practice Telephone | 2038190789 |
| Mailing Telephone | 2035109540 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2019-03-28 |
| 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) |
0001272 | CT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004123840 | 05 | |
| CT | 008017935 | 05 | |
| CT | 008031626 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1449 Old Waterbury Rd, Southbury, CT 064883926 | 2035270082 |
| Street Address |
344 WATERTOWN RD |
| City | THOMASTON |
| State | CT |
| Zip Code | 06787-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154337004 | Kerin B Foley | Social Worker | 344 Watertown Rd, Thomaston, CT 06787 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679703870 | Manpuneet Singh | Dentist | 131 Main St Ste 103, Thomaston, CT 06787 | 2009-07-22 |
| 1669502985 | Thomaston Board of Education | Local Education Agency (LEA) | 1 Thomas Ave, Thomaston Center School, Thomaston, CT 06787 | 2007-03-06 |
| 1649205766 | Christain Counseling Connection Inc | Counselor | 42 Church St, Torrington, CT 06787 | 2006-07-11 |
| 1598242992 | Mgr Wellness Counseling LLC | Clinic/Center | 14 S Main St, Thomaston, CT 06787 | 2018-07-27 |
| 1073630224 | Mark Joseph Cantin | Dentist | 22 Park St, Thomaston, CT 06787 | 2007-03-23 |
| 1548898042 | Heather Eisenberger | Student in an Organized Health Care Education/Training Program | 1164 Old Northfield Rd, Thomaston, CT 06787-1122 | 2020-03-30 |
| 1306111729 | Samuel Johnson | Counselor | 201 Humiston Cir, Thomaston, CT 06787-1223 | 2012-03-19 |
| 1750917381 | Paula Kuklinska-romot | Behavioral Analyst | 10 Ellen Ln, Thomaston, CT 06787-1292 | 2020-03-16 |
| 1750660999 | Thomaston Senior Center | Preferred Provider Organization | 64 Grove St, Thomaston, CT 06787-1419 | 2011-08-05 |
| 1538376967 | Judith Lombardo | Dentist | 10 Marine St, Suite 6, Thomaston, CT 06787-1470 | 2007-05-16 |
| Find all providers in zip 06787 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144713454 | Andrea Carter Wolverton | Counselor | 231 Sunnyside Rd, Thomaston, GA 30286-7442 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737735 | Southbury Adolescent and Young Adult Counseling Center LLC | Counselor | 385 Main St S Ste 217, Southbury, CT 06488-4246 | 2020-10-15 |
| 1821696675 | Bunny Catherina Rodriguez | Counselor | 60 Lake Rd, North Branford, CT 06471-1252 | 2020-10-14 |
| 1780282681 | Marcie Rivera | Counselor | 47 Coit St, New London, CT 06320-5924 | 2020-10-13 |
| 1003428897 | Francesca Nicole Porter | Counselor | 39 Burnham St, Enfield, CT 06082-6144 | 2020-08-21 |
| 1952912271 | Patience Ashong | Counselor | 191 High Ridge Dr, Bridgeport, CT 06606-4965 | 2020-08-11 |
| 1366051468 | Evan Hunter Jr. | Counselor | 53 Hawthorne Ave, Waterbury, CT 06708-4614 | 2020-07-24 |
| 1710505284 | Alfred Levi Greenleaf Jr. | Counselor | 51 Maheu St, Bristol, CT 06010-3051 | 2020-07-10 |
| 1316560089 | Sean Thomas Marcil | Counselor | 1776 Meriden Rd Rear Unitb, Wolcott, CT 06716-3341 | 2020-05-28 |
| 1396365706 | Angela M Massiello | Counselor | 192 Maple Ave, Uncasville, CT 06382-2018 | 2020-04-26 |
| 1750901005 | A Better Day Counseling Center LLC | Counselor | 403 New Litchfield St, Torrington, CT 06790-6640 | 2020-04-16 |
| 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.