Active NPI
Laura J Nesta Bluebird Counseling
- Adult Mental Health Clinic/Center
- Middlebury, CT
National Provider Identifier
1063139855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- LAURA J NESTA BLUEBIRD COUNSELING
- Practice address
- 900 Straits Tpke Ste C106
Middlebury, CT 06762-2865 - Phone
- (203) 592-4718
- NPI assigned
- Oct 24, 2022
- Last updated
- Jun 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Dulina
- Title
- Office Manager
- Phone
- (203) 910-9915
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
900 Straits Tpke Ste C106
Middlebury, CT 06762-2865
Mailing address
124 Maybrook Rd
Waterbury, CT 06708-3234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518991454 | Other | CT | NPI |
National Provider Directory
National Provider DirectoryLocations
900 Straits Tpke
Ste 106C
Middlebury, CT 06762
Phone (203) 208-9474
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Middlebury, CT
- NPI 1518991454
-
- Professional Counselor
- Middlebury, CT
- NPI 1609079565
-
- Professional Counselor
- Middlebury, CT
- NPI 1821892951
-
- Clinical Social Worker
- Middlebury, CT
- NPI 1164149738
-
- Clinical Social Worker
- Waterbury, CT
- NPI 1093859019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1063139855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MAYBROOK RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 STRAITS TPKE STE C106",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067622865",
"telephone_number": "203-592-4718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA J NESTA BLUEBIRD COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "DULINA",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "203-910-9915"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1518991454",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.