CONNECTICUT COUNSELING CENTERS INC (NPI# 1871619676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871619676 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT COUNSELING CENTERS INC |
| Practice Address |
4 Midland Rd Waterbury CT 06705-3412 |
| Practice Telephone | 2037558874 |
| Practice Fax Number | 2035979570 |
| Mailing Telephone | 2037558874 |
| Mailing Fax Number | 2035979570 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-06-25 |
| NPI Deactivation Date | 06/04/2008 |
| NPI Reactivation Date | 2008-06-25 |
| Authorized Official Name | MR. JASON E BRADWAY (DIRECTOR OF INFORMATION TECHNOLOGY) |
| Authorized Official Telephone | 2037434698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
SA0200 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004175726 | 05 |
| 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 |
| 1215441597 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-26 |
| 1023302171 | Connecticut Counseling Centers Inc | Clinic/Center | 60 Beaver Brook Rd, Danbury, CT 06810-6239 | 2011-06-07 |
| Street Address |
4 MIDLAND RD |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104942481 | Connecticut Counseling Centers, Inc. | Clinic/Center | 4 Midland Rd, Waterbury, CT 06705-3412 | 2007-03-21 |
| 1720588114 | Alyssa Kniering | Counselor | 4 Midland Rd, Waterbury, CT 06705-3412 | 2018-02-13 |
| 1346764677 | Constance J Merriman | Counselor | 4 Midland Rd, Waterbury, CT 06705-3412 | 2017-07-28 |
| 1396015392 | Diane Heyward | Counselor | 4 Midland Rd, Waterbury, CT 06705-3412 | 2012-01-06 |
| 1306097340 | Ellen Szumigala | Counselor | 4 Midland Rd, Waterbury, CT 06705-3412 | 2008-10-08 |
| 1982720702 | Connecticut Counseling Centers, Inc. | Clinic/Center | 4 Midland Rd, Waterbury, CT 06705-3412 | 2007-03-22 |
| 1346366234 | Connecticut Counseling Centers, Inc. | Clinic/Center | 4 Midland Rd, Waterbury, CT 06705-3412 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770097867 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-28 |
| 1336407915 | Wellmore, Inc | Clinic/Center | 142 Griggs St, Waterbury, CT 06704-3110 | 2012-05-02 |
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|---|---|---|---|---|
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| 1053501684 | Helping Hand Center Inc. | Clinic/Center | 1124 Iranistan Avenue, Helping Hand Center, Bridgeport, CT 06605-1121 | 2007-07-30 |
| 1073679445 | Apt Foundation, Inc | Clinic/Center | 352 State St, North Haven, CT 06473-3108 | 2006-12-29 |
| 1265449359 | Connecticut Renaissance, Inc | Clinic/Center | 4 Byington Pl, Norwalk, CT 06850-3309 | 2006-08-02 |
| 1669944724 | Progressive Institute LLC | Clinic/Center | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-4616 | 2018-12-28 |
| 1700384856 | Tricircle, Inc. | Clinic/Center | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-01-24 |
| 1508305806 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1598204893 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1982155859 | Apt Foundation Inc. | Clinic/Center | 184 Front Ave, West Haven, CT 06516-2836 | 2016-10-17 |
| 1801241880 | Arc In Home Addiction Treatment, P.C. | Clinic/Center | 556 Washington Ave, Suite 201, North Haven, CT 06473-1149 | 2016-04-27 |
| 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.