Maria S. Foss-Rand, L.P.C.
Individual provider Active NPI Professional Counselor · Old Seybrook, CT
NPI 1184948481 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1184948481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2253 (CT)
- Practice address
- 251 Main St.
Suite 100
Old Seybrook, CT 06475 - Phone
- (860) 661-1133
- Fax
- (860) 469-2966
- NPI assigned
- Mar 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Graces, LLP | Professional | Current |
Accepting new patients |
Locations
42 E High St
Ste 201
East Hampton, CT 06424
Phone (860) 267-2687
251 Main St
Ste 100
Old Saybrook, CT 06475
Phone (860) 661-1133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 2253 | CT | Yes |
Addresses
Primary practice location
251 Main St.
Suite 100
Old Seybrook, CT 06475
Mailing address
12 Billow Rd
Old Seybrook, CT 06475
Phone (860) 661-1133
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.