Active NPI
Dena Marie Otrin, LPC
- Professional Counselor
- Waterford, CT
National Provider Identifier
1225111255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001294
- Practice address
- Connections Counseling and Wellness Center LLC
163 Boston Post Rd
Waterford, CT 06385 - Phone
- (860) 444-8774
- Fax
- (860) 444-8776
- NPI assigned
- Oct 23, 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 | 001294 | CT | Primary |
Addresses
Primary practice location
Connections Counseling and Wellness Center LLC
163 Boston Post Rd
Waterford, CT 06385
Mailing address
55 Lookout Rd
PO Box 48
Westbrook, CT 06498
Phone (860) 227-4411
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 |
|---|---|---|---|
| 001294 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Counseling Center, LLC | Past | 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.
-
- Psychiatry Physician
- Waterford, CT
- NPI 1114069663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225111255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LOOKOUT RD",
"address_2": "PO BOX 48",
"city": "WESTBROOK",
"state": "CT",
"postal_code": "06498",
"telephone_number": "860-227-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONNECTIONS COUNSELING AND WELLNESS CENTER LLC",
"address_2": "163 BOSTON POST RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "06385",
"telephone_number": "860-444-8774",
"fax_number": "860-444-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTRIN",
"first_name": "DENA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.