Active NPI
Nancy Vail Anstrom, LPC
- Professional Counselor
- Groton, CT
National Provider Identifier
1205920022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001394
- Practice address
- 616 Goldstar Hwy
Groton, CT 06340 - Phone
- (860) 449-0200
- Fax
- (860) 449-1954
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001394 | CT | Primary |
Addresses
Primary practice location
616 Goldstar Hwy
Groton, CT 06340
Mailing address
616 Goldstar Hwy
Groton, CT 06340
Phone (860) 449-0200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001394 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205920022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 GOLDSTAR HWY",
"city": "GROTON",
"state": "CT",
"postal_code": "06340",
"telephone_number": "860-449-0200",
"fax_number": "860-449-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 GOLDSTAR HWY",
"city": "GROTON",
"state": "CT",
"postal_code": "06340",
"telephone_number": "860-449-0200",
"fax_number": "860-449-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSTROM",
"first_name": "NANCY",
"middle_name": "VAIL",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.