Active NPI
Three Graces, LLP
- Community/Behavioral Health Agency
- Old Saybrook, CT
National Provider Identifier
1184998296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THREE GRACES, LLP
- Practice address
- 251 Main St Ste 100
Old Saybrook, CT 06475-2357 - Phone
- (860) 661-1133
- Fax
- (860) 469-2966
- NPI assigned
- Mar 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louisa Lynn Foss, PHD, NCC
- Title
- Partner
- Phone
- (860) 267-2687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
251 Main St Ste 100
Old Saybrook, CT 06475-2357
Mailing address
251 Main St Ste 100
Old Saybrook, CT 06475-2357
Phone (860) 661-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275464 | Medicaid | CT |
Other names 1
- Avia Counseling Center
National Provider Directory
National Provider DirectoryLocations
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
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- East Hampton, CT
- NPI 1649365834
-
- Professional Counselor
- Old Seybrook, CT
- NPI 1184948481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582156800000",
"number": "1184998296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 MAIN ST STE 100",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752357",
"telephone_number": "860-661-1133",
"fax_number": "860-469-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 MAIN ST STE 100",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752357",
"telephone_number": "860-661-1133",
"fax_number": "860-469-2966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE GRACES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-07",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A",
"authorized_official_last_name": "FOSS",
"authorized_official_first_name": "LOUISA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "860-267-2687",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275464",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Avia Counseling Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Avia Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.