Amy Bologna

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

006563 Issued in CT

Practice address

49 Handel Rd
East Hartford, CT 06118-2618

Phone

(860) 878-1423

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

Yes

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.

• St Andre Home Inc.

  • Community/Behavioral Health Agency
  • Biddeford, ME
  • NPI 1508198037
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2025.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1265076160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HANDEL RD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061182618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HANDEL RD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061182618",
            "telephone_number": "860-878-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOGNA",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6919",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "006563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Bloomfield
• Anne Boehmcke, BCBA, BHP
• Briana Lynn Bogrette
• Elizabeth Boig
• Margo Ann Bojko, LCSW
• Craig Cesare Bonanni, M.D.
• Christina Marie Bonnet, CNM
• Angela Bonsu
• Tyler Booth, LCSW
• Karen Bosworth-Penny, RN

• All providers in East Hartford, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.