Rancourt Counseling, LLC
Organization Active NPI Clinical Social Worker · New Milford, CT
NPI 1114214673 · NPPES record last updated Dec 13, 2021
Key facts
- NPI
- 1114214673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- RANCOURT COUNSELING, LLC
- Practice address
- 41 S Main St
New Milford, CT 06776-3507 - Phone
- (860) 740-2228
- Fax
- (860) 254-7256
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Rebecca Gloria Wade-Rancourt
- Title
- President
- Phone
- (860) 740-2228
Practitioners 5
-
Catherine Vlasto, LCSW
-
Joseph Wessex, LADC
-
Dawn M Zabek, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210914002345 | CT | Part B Supplier - Clinic/Group Practice | 1951707157 |
Receives reassigned benefits from 5 practitioners Practice locations: New Milford, CT |
National Provider Directory
Locations
26 Bank St
New Milford, CT 06776
Phone (203) 241-9470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | 005773 | CT | |
| Clinical Social Worker |
1041C0700X | Yes | ||
| Marriage & Family Therapist |
106H00000X |
Addresses
Primary practice location
41 S Main St
New Milford, CT 06776-3507
Mailing address
41 S Main St
New Milford, CT 06776-3507
Phone (860) 740-2228
Other names
- New Milford Counseling Center
Other providers in New Milford, CT
- Stephanie Jean Pruchnik
- Psychotherapy Associates of Western Connecticut
- Marc Christopher Pulford
- Iraj Cyrus Rahmati
- Sebastian Ramirez
- Christopher Rancourt
- Randolph C. Kinkade
- Antonio Reale
- Reflective Moments Therapy LLC
- Jennifer Reid
All providers in New Milford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.