Individual provider Active NPI

Tia Sharmaine Rhinehart, LADC, LPC

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1205200672
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4351 Issued in CT
Practice address
100 Grand St Ste 2G
Waterbury, CT 06702-1908
Phone
(203) 527-0312
Fax
(203) 841-1054
NPI assigned
Nov 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001095 CT
Professional Counselor 101YP2500X 4351 CT Primary

Addresses

Primary practice location

100 Grand St Ste 2G
Waterbury, CT 06702-1908

Mailing address

48 Shepards Knoll Dr
Hamden, CT 06514-1805
Phone (203) 558-6306

Other practice location 1

48 Shepards Knoll Dr
Hamden, CT 06514-1805
Phone (203) 558-6306

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
4351CTMDOccupational Therapist
001095CTMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rhinehart Counseling Services Addiction (Substance Use Disorder) Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1448064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1205200672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SHEPARDS KNOLL DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141805",
            "telephone_number": "203-558-6306",
            "fax_number": "203-841-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST STE 2G",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021908",
            "telephone_number": "203-527-0312",
            "fax_number": "203-841-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Shepards Knoll Dr",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065141805",
            "country_code": "US",
            "telephone_number": "203-558-6306",
            "fax_number": "203-841-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHINEHART",
        "first_name": "TIA",
        "middle_name": "SHARMAINE",
        "name_prefix": "Ms.",
        "credential": "LADC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-21",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.