Joanne M Bouchard

Individual provider Active NPI Counselor · Torrington, CT

NPI 1235228933 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1235228933
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
132 Grove St
Torrington, CT 06790-5047
Phone
(860) 482-5558
Fax
(860) 489-2984
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. - Archdiocese of Hartford Past Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford Past
since Jan 1, 2000
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

132 Grove St
Torrington, CT 06790-5047

Mailing address

132 Grove St
Torrington, CT 06790-5047
Phone (860) 482-5558

Other providers in Torrington, CT

All providers in Torrington, CT · Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.