Susan Robin Bass, LPC
Individual provider Active NPI Professional Counselor · Hebron, CT
NPI 1003469818 · NPPES record last updated Jul 20, 2019
Key facts
- NPI
- 1003469818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 002008 (CT)
- Practice address
- 27 Main St
Hebron, CT 06248-1514 - Phone
- (860) 228-1287
- NPI assigned
- Jul 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002008 | CT | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002008 | CT | Yes |
Addresses
Primary practice location
27 Main St
Hebron, CT 06248-1514
Mailing address
17 Heritage Rd
Columbia, CT 06237-1047
Phone (860) 942-4924
Other providers in Hebron, CT
- Americare Medical Supply L.L.C.
- Andover, Hebron, Marlborough Youth & Family Services, Inc.
- Kelly Rogers Ayen
- Joseph J Barone
- Alexander Bartis
- Aaliyah Jordan Black
- Borys Averbukh DMD PLLC
- Katelyn Boutwell
- John Joseph Brier
- Kari Burgess
All providers in Hebron, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.