Individual provider Active NPI

Abigail Sclafani, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Sandy Hook, CT
National Provider Identifier
1124621941
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001290 Issued in CT
Practice address
18 Ardi CT
Sandy Hook, CT 06482-1592
Phone
(203) 947-1188
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001290 CT
Addiction (Substance Use Disorder) Counselor 101YA0400X 001290 CT Primary

Addresses

Primary practice location

18 Ardi CT
Sandy Hook, CT 06482-1592

Mailing address

18 Ardi CT
Sandy Hook, CT 06482-1592
Phone (203) 947-1188

Other names 1

  • Abigail Grace Rasmussen Former name

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

State licenses

LicenseStateTypeSpecialty
001290CTMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1124621941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ARDI CT",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821592",
            "telephone_number": "203-947-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ARDI CT",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821592",
            "telephone_number": "203-947-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCLAFANI",
        "first_name": "ABIGAIL",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "001290",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "RASMUSSEN",
            "middle_name": "GRACE",
            "credential": "LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandy Hook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.