Individual provider Active NPI

Nancy Ramos Dionizio, MS,BA,LPC,NCC

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1306111539
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002348 Issued in CT
Practice address
141 E Main St
3Rd Floor Home Based Services
Waterbury, CT 06702-2310
Phone
(203) 575-0466
Fax
(203) 575-1817
NPI assigned
Mar 21, 2012
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002348 CT Primary

Addresses

Primary practice location

141 E Main St
3Rd Floor Home Based Services
Waterbury, CT 06702-2310

Mailing address

141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000

Other identifiers 13

IdentifierTypeStateIssuer
060669107OtherCTHEALTHY CT-AFFORADABLE HEALTHCARE WELLMORE, INC FACILITY/GROUP
060669107OtherCTUBH-UNITED HEALTHCARE WELLMORE, INC GRP/FACILITY
4679990OtherCTCIGNA BEHAVIORAL HEALTH
539517OtherCTTRICARE NORTH-MHN
9959987OtherCTAETNA BEHAVIORAL HEALTH
539518OtherCTMANAGED HEALTH NETWORK-MHN
13547449OtherCTCAQH
008049659MedicaidCT
060669107OtherCTANTHEM BCBS OF CT BEHAVIORAL HEALTH-WELLMORE, INC GRP/FACILITY
060669107OtherCTUBH-OXFORD HEALTH/LIBERTY WELLMORE, INC GRP/FACILITY
060669107OtherCTUNITED BEHAVIORAL HEALTH-OPTUM/WELLMORE, INC GRP/FACILITY
D339209 WATERBURYOtherCTBEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
240816OtherCTNATIONAL CERTIFIED COUNSELOR/NCC EXPIRES 11/30/2019

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
Credentials
Bachelor of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
002348CTMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1306111539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "address_2": "4TH FLOOR ADMINISTRATION",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "address_2": "3RD FLOOR HOME BASED SERVICES",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-575-0466",
            "fax_number": "203-575-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONIZIO",
        "first_name": "NANCY",
        "middle_name": "RAMOS",
        "name_prefix": "Mrs.",
        "credential": "MS,BA,LPC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY CT-AFFORADABLE HEALTHCARE WELLMORE, INC FACILITY/GROUP",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH-UNITED HEALTHCARE   WELLMORE, INC GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "4679990",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH-MHN",
            "identifier": "539517",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "9959987",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK-MHN",
            "identifier": "539518",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13547449",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008049659",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT BEHAVIORAL HEALTH-WELLMORE, INC GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH-OXFORD HEALTH/LIBERTY     WELLMORE, INC GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH-OPTUM/WELLMORE, INC GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES     WELLMORE GRP/FACILITY",
            "identifier": "D339209 WATERBURY",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED COUNSELOR/NCC EXPIRES 11/30/2019",
            "identifier": "240816",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.