Individual provider Active NPI

Michael Steady, CRC, LADC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Glastonbury, CT
National Provider Identifier
1023372927
Registry record updated Jul 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000966 Issued in CT
Practice address
122A Naubuc Ave
Suite 210
Glastonbury, CT 06033-4246
Phone
(860) 918-1782
Fax
(860) 346-9041
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000966 CT Primary
Professional Counselor 101YP2500X 002175 CT

Addresses

Primary practice location

122A Naubuc Ave
Suite 210
Glastonbury, CT 06033-4246

Mailing address

122A Naubuc Ave
Suite 210
Glastonbury, CT 06033-4246
Phone (860) 918-1782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002291 CT Practitioner - Mental Health Counselor 0446698963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000966CTMDMarriage & Family Therapist
002175CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Private Counseling Associates LLC CurrentSince Feb 21, 2024 Accepting new patients

Locations

50 Pratt St
Glastonbury, CT 06033
Phone (860) 918-1782

122A Naubuc Ave
Ste 210
Glastonbury, CT 06033
Phone (860) 218-0948

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374883200000",
    "number": "1023372927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A NAUBUC AVE",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334246",
            "telephone_number": "860-918-1782",
            "fax_number": "860-346-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122A NAUBUC AVE",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334246",
            "telephone_number": "860-918-1782",
            "fax_number": "860-346-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEADY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRC, LADC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2013-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000966",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.