NPIMap

Organization Active NPI

Connecticut Counseling Centers, Inc.

  • Methadone Clinic
  • Waterbury, CT
National Provider Identifier
1104942481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
SA0200 Issued in CT
Legal business name
CONNECTICUT COUNSELING CENTERS, INC.
Practice address
4 Midland Rd
Waterbury, CT 06705-3412
Phone
(203) 755-8874
Fax
(203) 497-9570
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Bilangi
Title
Executive Director-President
Phone
(203) 743-4698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X SA0200 CT Primary

Addresses

Primary practice location

4 Midland Rd
Waterbury, CT 06705-3412

Mailing address

4 Midland Rd
Waterbury, CT 06705-3412
Phone (203) 755-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200225001773 CT Part B Supplier - Opioid Treatment Program (Otp) 0345677761 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Danbury, CT; Meriden, CT; Norwalk, CT; Waterbury, CT

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Counseling25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104942481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MIDLAND RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053412",
            "telephone_number": "203-755-8874",
            "fax_number": "203-497-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MIDLAND RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053412",
            "telephone_number": "203-755-8874",
            "fax_number": "203-497-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT COUNSELING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILANGI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR-PRESIDENT",
        "authorized_official_telephone_number": "203-743-4698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CT",
            "license": "SA0200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.