Individual provider Active NPI

Christine M. Talerico, MS, LPC

  • School Counselor
  • Westport, CT
National Provider Identifier
1073228730
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
068 Issued in CT
Practice address
70 North Ave
Westport, CT 06880-2799
Phone
(203) 341-1238
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001263 CT
School Counselor 101YS0200X 068 CT Primary

Addresses

Primary practice location

70 North Ave
Westport, CT 06880-2799

Mailing address

26 Hawthorne Dr
Cheshire, CT 06410-3628
Phone (203) 641-0334

Other practice location 1

111 Simsbury Rd
Avon, CT 06001-3763
Phone (860) 255-4017

Other practice location 2

64 Thompson St Ste A106
East Haven, CT 06513-5700
Phone (203) 691-8163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240404000265 CT Practitioner - Other (Non-Physician) 2466890843 Reassigns benefits to 1 organization
I20260304002060 CT Practitioner - Mental Health Counselor 2466890843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Health and Wellness LLCGroup PAC ID 9032562889, 13 clinicians

Practice addresses (Care Compare)

64 Thompson St
East Haven, CT 06513-5700
Phone (203) 804-9448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
068CTMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Health and Wellness LLC Professional CurrentSince Mar 1, 2024 Accepting new patients

Locations

64 Thompson St
Ste A106
East Haven, CT 06513
Phone (203) 691-8163

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1073228730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HAWTHORNE DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103628",
            "telephone_number": "203-641-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 NORTH AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802799",
            "telephone_number": "203-341-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Simsbury Rd",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013763",
            "country_code": "US",
            "telephone_number": "860-255-4017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Thompson St Ste A106",
            "address_purpose": "LOCATION",
            "city": "East Haven",
            "state": "CT",
            "postal_code": "065135700",
            "country_code": "US",
            "telephone_number": "203-691-8163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALERICO",
        "first_name": "CHRISTINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001263",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CT",
            "license": "068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.