Individual provider Active NPI

Brittany Ridge Quinn, LPC, ATR-BC

  • Professional Counselor
  • Berlin, CT
National Provider Identifier
1306255757
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3209 Issued in CT
Practice address
49 Kenwood St
Berlin, CT 06037-2016
Phone
(860) 470-4303
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 3209 CT Primary

Addresses

Primary practice location

49 Kenwood St
Berlin, CT 06037-2016

Mailing address

49 Kenwood St
Berlin, CT 06037-2016
Phone (860) 470-4304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 18, 2025 through Dec 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3209CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Green Lotus Creative Healing Center LLC Professional CurrentSince Sep 23, 2021 Accepting new patients

Locations

56 Arbor St
Ste 216
Hartford, CT 06106
Phone (860) 302-5603

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1306255757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 KENWOOD ST",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372016",
            "telephone_number": "860-470-4304",
            "fax_number": "860-516-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KENWOOD ST",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372016",
            "telephone_number": "860-470-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "BRITTANY",
        "middle_name": "RIDGE",
        "name_prefix": "Mrs.",
        "credential": "LPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

Verify at the official NPI Registry.