Organization Active NPI

Three Graces, LLP

  • Community/Behavioral Health Agency
  • Old Saybrook, CT
National Provider Identifier
1184998296
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Louisa Lynn Foss, PHD, NCCNPI 1649365834
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
275464MedicaidCT

Other names 1

  • Avia Counseling Center Doing business as

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.