Active NPI
Thomas Henry Stevens IV, LADC, LPC-A
- Addiction (Substance Use Disorder) Counselor
- Glastonbury, CT
National Provider Identifier
1245373786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 110 National Dr
Glastonbury, CT 06033-4371 - Phone
- (860) 657-8910
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
110 National Dr
Glastonbury, CT 06033-4371
Mailing address
537 Prospect St
Wethersfield, CT 06109-3648
Phone (860) 519-7802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushford Center, Inc. | Current | Accepting new patients | |
| Union Cognitive Care, PC | Past | Accepting new patients |
Locations
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
1250 Silver St
Middletown, CT 06457
Phone (860) 346-0300
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.
-
- Psychologist
- Meriden, CT
- NPI 1275541005
-
- Mental Health Counselor
- Glastonbury, CT
- NPI 1649979832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1245373786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 PROSPECT ST",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093648",
"telephone_number": "860-519-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NATIONAL DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334371",
"telephone_number": "860-657-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "THOMAS",
"middle_name": "HENRY",
"name_suffix": "IV",
"credential": "LADC, LPC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.