Individual provider Active NPI

Henry Torres, LPC

  • Professional Counselor
  • Bridgeport, CT
National Provider Identifier
1083951388
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2176 Issued in CT
Practice address
1635 Central Ave RM 427
Bridgeport, CT 06610-2717
Phone
(203) 551-7609
Fax
(203) 551-7690
NPI assigned
Jan 8, 2013
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2176 CT
Addiction (Substance Use Disorder) Counselor 101YA0400X 2176 CT
Mental Health Counselor 101YM0800X 2176 CT
Professional Counselor 101YP2500X 2176 CT Primary

Addresses

Primary practice location

1635 Central Ave RM 427
Bridgeport, CT 06610-2717

Mailing address

1635 Central Avenue
Room 427 Southwest Connecticut Mental Health System
Bridgeport, CT 06610
Phone (203) 551-7609

Other practice location 1

247 South Broad St
Milford, CT 06460-3273
Phone (203) 562-0223

Other practice location 2

949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365

Other practice location 3

949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365

Other identifiers 1

IdentifierTypeStateIssuer
2176OtherCTPROFESSIONAL COUNSELOR STATE OF CT

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
I20240809003699 CT Practitioner - Mental Health Counselor 7416495353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridges Healthcare IncGroup PAC ID 3971401365, 33 clinicians

Practice addresses (Care Compare)

949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2176CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jul 1, 2024 Accepting new patients
State of Connecticut CurrentSince Jul 1, 2024 Accepting new patients
Bridges Healthcare Inc. CurrentSince Aug 11, 2024 Accepting new patients

Locations

1635 Central Ave
Rm 427
Bridgeport, CT 06610
Phone (203) 551-7609

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

949 Bridgeport Ave
Milford, CT 06460
Phone (203) 301-2308

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1083951388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 CENTRAL AVENUE",
            "address_2": "ROOM 427 SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-551-7609",
            "fax_number": "203-551-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CENTRAL AVE RM 427",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102717",
            "telephone_number": "203-551-7609",
            "fax_number": "203-551-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 South Broad St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603273",
            "country_code": "US",
            "telephone_number": "203-562-0223",
            "fax_number": "203-713-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "949 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603142",
            "country_code": "US",
            "telephone_number": "203-878-6365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "949 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603142",
            "country_code": "US",
            "telephone_number": "203-878-6365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "HENRY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "2176",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "2176",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2176",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR STATE OF CT",
            "identifier": "2176",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.