Counseling Connection of Lexington

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

154583 Issued in MA

Legal business name

COUNSELING CONNECTION OF LEXINGTON

Practice address

2 Winter St
Suite 401
Waltham, MA 02451

Phone

(781) 363-0390

Fax

(781) 646-0509

NPI assigned

Feb 8, 2010

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chantal F Nouvellon, DONPI 1629024344

Title

Director

Phone

(781) 363-0390

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Chantal Francoise Nouvellon, D.O.

  • Child & Adolescent Psychiatry Physician
  • Arlington, MA
  • NPI 1629024344
  NPD (past) Authorized official

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1063744613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WINTER ST",
            "address_2": "SUITE 401",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "781-363-0390",
            "fax_number": "781-646-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WINTER ST",
            "address_2": "SUITE 401",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "781-363-0390",
            "fax_number": "781-646-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CONNECTION OF LEXINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "NOUVELLON",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-363-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "154583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Costello, CCC-SLP
• Carolyn Elizabeth Cote, B.A., M.A., PSY.D.
• Valerie Hoffberger Cote, LMHC, LABA, BCBA
• Samantha Cotto
• Donald F Counihan Jr., DC
• Michelle Marie Cournoyer, P.A.-C.
• Valerie Courville, LIC. AC.
• Tara McKee Cousineau, PH.D.
• Brandon M Couture
• Elizabeth De Somery Covington, MA CCC SLP

• Child & Adolescent Psychiatry Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.