MRS. BRENNA MARIE NICHOLSON (NPI# 1982906715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982906715 |
Entity Type | Individual |
Full Name | MRS. BRENNA MARIE NICHOLSON |
Other Name | MISS BRENNA MARIE DOBOS |
Credential | LPC |
Practice Address |
408 Highland Ave Bldg A, Suite 6 Cheshire CT 06410-2525 |
Practice Telephone | 2034949030 |
Mailing Telephone | 2034949030 |
Enumeration Date | 2010-11-30 |
Last Update Date | 2012-04-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
001919 | CT | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
001919 | CT | Behavioral Health & Social Service Providers |
Street Address |
408 HIGHLAND AVE BLDG A, SUITE 6 |
City | CHESHIRE |
State | CT |
Zip Code | 06410-2525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154530269 | Alan M Smirnoff | Psychologist | 408 Highland Ave, Suite A2, Cheshire, CT 06410-2525 | 2007-05-22 |
1558733725 | Suzan Plowman | Counselor | 408 Highland Ave, Building A, Suite 6, Cheshire, CT 06410-2525 | 2015-10-27 |
1841552320 | Jeffrey F Kochiss LLC | Marriage & Family Therapist | 408 Highland Ave, Building A, Suite 6, Cheshire, CT 06410-2525 | 2012-06-12 |
1891052981 | Kristan M Mclean | Social Worker | 408 Highland Ave, Suite 7 Building A, Cheshire, CT 06410-2525 | 2012-04-13 |
1689949323 | Clarity Counseling, LLC | Community/Behavioral Health | 408 Highland Ave, Building A, Suite 6, Cheshire, CT 06410-2525 | 2012-03-13 |
1992018089 | Amy Walker Farmer | Social Worker | 408 Highland Ave, Building A, Suite 6, Cheshire, CT 06410-2525 | 2010-07-19 |
1346566650 | Life Balance | Counselor | 408 Highland Ave, Building A Office #8, Cheshire, CT 06410-2525 | 2010-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
Find all providers in zip 06410 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922533363 | The Social Learning Center. LLC | Counselor | 545 Highland Ave, Cheshire, CT 06410-2205 | 2017-04-24 |
1760832299 | Suzanne C Andreyev | Counselor | 106 Thorn Hollow Rd, Cheshire, CT 06410-2960 | 2016-06-15 |
1841648250 | Caitlin Rose | Counselor | 702 Overlook Dr, Cheshire, CT 06410-2123 | 2016-05-25 |
1306182027 | Nicole S. Williams | Counselor | 408 Highland Ave Ste 6, Cheshire, CT 06410 | 2012-12-28 |
1962636456 | Anne Sansolo | Counselor | 420 Highland Ave Ste B1, Cheshire, CT 06410-2527 | 2009-05-12 |
1316101348 | Stacie Leigh Kervin | Counselor | 116 S Brooksvale Rd, Cheshire, CT 06410-3512 | 2008-07-18 |
1215987433 | Lynn M Krieg | Counselor | 350 South Main St, Cheshire, CT 06410 | 2006-05-10 |
1245831387 | Alexandra Fitzner | Counselor | 416 Highland Ave Ste B, Cheshire, CT 06410-2531 | 2020-11-05 |
1417554866 | Heart and Crown Healing, LLC | Counselor | 609 W Johnson Ave, Cheshire, CT 06410-4505 | 2020-10-07 |
1285255752 | Therapeutic Solutions of Cheshire | Counselor | 420 Highland Ave Ste B1, Cheshire, CT 06410-2527 | 2020-05-06 |
Find all providers in CHESHIRE |
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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.