Active NPI
Lynnette Colon, MA, LPC
- Professional Counselor
- Manchester, CT
National Provider Identifier
1104074178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002233
- Practice address
- 391 Center St
Manchester, CT 06040 - Phone
- (860) 785-6222
- Fax
- (203) 905-6740
- NPI assigned
- Sep 3, 2008
- 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 | |||
| Mental Health Counselor | 101YM0800X | 002233 | CT | |
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | 002233 | CT | Primary |
Addresses
Primary practice location
391 Center St
Manchester, CT 06040
Mailing address
391 Center St
Manchester, CT 06040-3924
Phone (860) 785-6222
Other practice location 1
2550 Main St
Hartford, CT 06120-1936
Phone (860) 724-3530
Other practice location 2
1268 Main St Ste 106
Newington, CT 06111-3043
Phone (860) 785-6222
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002233 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1104074178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 CENTER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403924",
"telephone_number": "860-785-6222",
"fax_number": "203-905-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 CENTER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-785-6222",
"fax_number": "203-905-6740"
}
],
"practiceLocations": [
{
"address_1": "2550 Main St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061201936",
"country_code": "US",
"telephone_number": "860-724-3530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1268 Main St Ste 106",
"address_purpose": "LOCATION",
"city": "Newington",
"state": "CT",
"postal_code": "061113043",
"country_code": "US",
"telephone_number": "860-785-6222",
"fax_number": "203-905-6740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLON",
"first_name": "LYNNETTE",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "002233",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.