Organization Active NPI

Advanced Treatment Solutions LLC

  • Counselor
  • Farmington, CT
National Provider Identifier
1225577331
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
797 Issued in CT
Legal business name
ADVANCED TREATMENT SOLUTIONS LLC
Practice address
270 Farmington Ave Ste 328
Farmington, CT 06032-1909
Phone
(866) 887-6864
Fax
(866) 887-6864
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Mr. Jimmy Pinto Moutinho, MS LPC LADC
Title
Founder/Director
Phone
(866) 887-6864

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 797 CT Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 2231 CT
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 797 CT
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

270 Farmington Ave Ste 328
Farmington, CT 06032-1909

Mailing address

PO Box 270642
West Hartford, CT 06127-0642
Phone (866) 887-6864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191121002295 CT Part B Supplier - Clinic/Group Practice 0143652628 Receives reassigned benefits from 11 practitioners
Practice locations: Farmington, CT

National Provider Directory

National Provider Directory

Locations

270 Farmington Ave
Ste 328
Farmington, CT 06032
Phone (440) 537-3968

85 Gillett St
Hartford, CT 06105
Phone (860) 969-5554

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1225577331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270642",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061270642",
            "telephone_number": "866-887-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE STE 328",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321909",
            "telephone_number": "866-887-6864",
            "fax_number": "866-887-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TREATMENT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MOUTINHO",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "PINTO",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "866-887-6864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS LPC LADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CT",
            "license": "797",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "2231",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "797",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.