Suzanne M Christoferson, LPC, ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003019 Issued in CT

Practice address

88 Old Broadway W
North Haven, CT 06473-1631

Phone

(413) 717-0250

NPI assigned

Oct 7, 2016

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Suzanne M Scala Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Art Therapy Explorations LLC

  • Professional Counselor
  • Hamden, CT
  • NPI 1336740935
  NPD Authorized official

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1174073761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 WAITE ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172530",
            "telephone_number": "413-717-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OLD BROADWAY W",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731631",
            "telephone_number": "413-717-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Stratford Road",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MA",
            "postal_code": "012590431",
            "country_code": "US",
            "telephone_number": "413-717-0250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOFERSON",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2021-06-17",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3019",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ExploreArtTherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "88 Old Broadway W",
            "city": "North Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064731631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "SCALA",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "LPC, ATR-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Civic North Haven, LLC
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• Clove Tree Community Acupuncture
• Shaquana Cobbs

• Professional Counselor in North Haven, CT
• Providers in North Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.