Active NPI
Marie Salvemini, LPC
- Professional Counselor
- New London, CT
National Provider Identifier
1063634020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1299
- Practice address
- 1 Shaws CV
New London, CT 06320-4902 - Phone
- (860) 447-8304
- Fax
- (860) 443-8720
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0012299 | CT | |
| Professional Counselor | 101YP2500X | 1299 | CT | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 608 | CT | |
| Registered Nurse | 163W00000X | 66799 | CT |
Addresses
Primary practice location
1 Shaws CV
New London, CT 06320-4902
Mailing address
1 Shaws CV
New London, CT 06320-4902
Phone (860) 447-8304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4024972 | Medicaid | CT | |
| 4014679 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 608 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 0012299 | CT | MD | Mental Health Counselor |
| 1299 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1063634020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHAWS CV",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204902",
"telephone_number": "860-447-8304",
"fax_number": "860-443-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHAWS CV",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204902",
"telephone_number": "860-447-8304",
"fax_number": "860-443-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVEMINI",
"first_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "0012299",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "1299",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "608",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "66799",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4024972",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4014679",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.