SAMANTHA SOUFRINE (NPI# 1962020685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962020685 |
| Entity Type | Individual |
| Full Name | SAMANTHA SOUFRINE |
| Credential | LPC |
| Practice Address |
605 Washington Ave North Haven CT 06473-1123 |
| Practice Telephone | 2032141399 |
| Mailing Telephone | 2032141399 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4481 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LPC | 4481 | 01 |
| Street Address |
605 WASHINGTON AVE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023304706 | Daniel Battistoni | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2011-06-22 |
| 1033737879 | Crane Counseling Services | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2020-07-08 |
| 1053941260 | Uplift and Recover LLC | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2020-01-16 |
| 1285273094 | Lighthouse Counseling and Intervention LLC | Counselor | 605 Washington Ave, 2nd Floor North Wing, North Haven, CT 06473 | 2019-12-26 |
| 1952950503 | Changing Seasons Wellness Center, LLC | Social Worker | 605 Washington Ave, North Haven, CT 06473-1123 | 2019-09-06 |
| 1215595236 | Lantern Light Counseling, LLC | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2019-06-04 |
| 1699330076 | James Boulding-bridges | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2019-05-01 |
| 1215410956 | Healthy Relations Counseling, LLC | Marriage & Family Therapist | 605 Washington Ave, North Haven, CT 06473-1123 | 2018-09-10 |
| 1972093409 | Kopaz Counseling LLC | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2018-05-10 |
| 1013325018 | Maria Nunley | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| 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 |
|---|---|---|---|---|
| 1023304706 | Daniel Battistoni | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2011-06-22 |
| 1134322282 | Christine Porto | Counselor | 5 Linsley St, North Haven, CT 06473-2518 | 2007-06-07 |
| 1215472527 | Nutmeg Counseling Services, LLC | Counselor | 41 Middletown Ave, 2nd Floor, North Haven, CT 06473-3926 | 2016-12-21 |
| 1013325018 | Maria Nunley | Counselor | 605 Washington Ave, North Haven, CT 06473-1123 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552094 | Aiya Counseling LLC | Counselor | 227 Forest Rd, Storrs Mansfield, CT 06268-1116 | 2020-09-10 |
| 1093320913 | Lindsay Jean Young | Counselor | 241 Senexet Rd, Woodstock, CT 06281-0628 | 2020-09-09 |
| 1366056475 | Ends2meet LLC | Counselor | 87 Barry Pl, Rocky Hill, CT 06067-1207 | 2020-09-04 |
| 1407464894 | Michael Shelby | Counselor | 151 New Park Ave Unit 7, Hartford, CT 06106-2191 | 2020-07-21 |
| 1447877964 | Victoria Larrieu Sebourne | Counselor | 35 Montauk St, Fairfield, CT 06825-1606 | 2020-06-30 |
| 1356968903 | Daihany Mejia-bonilla | Counselor | 84 Buckland Dr, Waterbury, CT 06704-1116 | 2020-06-30 |
| 1003432139 | Anna Frances Sullivan | Counselor | 95a Portland Ave, Redding, CT 06896-3112 | 2020-06-24 |
| 1467077149 | Valayshia T Brookins | Counselor | 1635 Capitol Ave # 2, Bridgeport, CT 06604-1525 | 2020-06-09 |
| 1679109219 | Jessica Spar | Counselor | 40 Sand Hill Rd, Bristol, CT 06010-2932 | 2020-03-16 |
| 1104450519 | Linda Valera | Counselor | 46 W Avon Rd Ste 202, Avon, CT 06001-3679 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HAVEN |
| Zip Code | 06473 |
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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.