Abigail Elizabeth Thurlow, LPC
Individual provider Active NPI Professional Counselor · North Franklin, CT
NPI 1104492479 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1104492479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 003495 (CT)
- Practice address
- 72 Route 32
North Franklin, CT 06254-1837 - Phone
- (860) 822-6009
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240826000836 | CT | Practitioner - Mental Health Counselor | 7416496245 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003495 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Dispensary | Current |
Accepting new patients | |
| Franklin Professional Counseling Center LLC | Professional | Past |
Accepting new patients |
Locations
335 Broad St
Manchester, CT 06040
Phone (860) 643-3200
542 E Main St
New Britain, CT 06051
Phone (860) 827-3313
931 Bank St
New London, CT 06320
Phone (860) 447-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003495 | CT | Yes |
Addresses
Primary practice location
72 Route 32
North Franklin, CT 06254-1837
Mailing address
72 Route 32
North Franklin, CT 06254-1837
Phone (860) 822-6009
Other providers in North Franklin, CT
- June Sohn
- Scott Stanat
- Stacey Stark
- Patricia A Stuart
- Mary Thompson
- Tamora Void
- Julie Wojnar
- Maura Yellen
- Allison Fiscus Zipser
- Daniel Zuchelli
All providers in North Franklin, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.