MR. JIM P MOUTINHO


Address: 836 Farmington Ave, Suite 221b, West Hartford, CT 06119-1505
Phone: 8668876864

MR. JIM P MOUTINHO (NPI# 1932255726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932255726
Entity Type Individual
Full Name MR. JIM P MOUTINHO
Credential MS LPC LADC
Practice Address 836 Farmington Ave
Suite 221b
West Hartford
CT 06119-1505
Practice Telephone 8668876864
Practice Fax Number 8668876864
Mailing Telephone 8668876864
Mailing Fax Number 8668876864
Enumeration Date 2007-01-26
Last Update Date 2017-01-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
797 CT Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
2231 CT Behavioral Health & Social Service Providers

Office Location

Street Address 836 FARMINGTON AVE
SUITE 221B
City WEST HARTFORD
State CT
Zip Code 06119-1505

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063957389 Hannah Aliberti Behavioral Analyst 792 Farmington Ave, West Hartford, CT 06119 2016-12-21
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1285901314 Onyeijen Mgbejume Pharmacist 674 Famington Avenue, West Hartford, CT 06119 2011-11-17
1134403553 Cornelia F Sharrow Social Worker 17 South Highland St, West Hartford, CT 06119 2011-10-04
1952613218 Lauren B Kopyt Pediatrics 785 Farmington Avenue, West Hartford, CT 06119 2010-07-02
1043542657 Leticia Jacquet Physical Therapist 1022 Boulevard, #274, West Hartford, CT 06119 2010-02-06
1003051467 Emily Bevelaqua Pellegrino Music Therapist 72 Maplewood Ave, West Hartford, CT 06119 2008-12-12
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1093839797 Sondra Kronick Counselor 12 N Main St Ste 108, West Hartford, CT 06107-1932 2007-03-19
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1366679045 Tara L. Murphy Counselor 45 S Main St, Suite 309, West Hartford, CT 06107-2441 2009-06-19
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Competitor

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City WEST HARTFORD
Zip Code 06119

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Dataset Information

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.

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