Individual provider Active NPI

Chauncey Allers, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Bristol, CT
National Provider Identifier
1306685672
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1547 Issued in CT
Practice address
1098 Farmington Ave
Bristol, CT 06010-4705
Phone
(860) 973-0213
NPI assigned
May 24, 2024
Last updated
May 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1547 CT Primary

Addresses

Primary practice location

1098 Farmington Ave
Bristol, CT 06010-4705

Mailing address

2 Mountainview Ter Unit 4134
Danbury, CT 06810-4183
Phone (203) 644-8908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1547CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dispensary CurrentSince Aug 7, 2024 Accepting new patients
Hartford Dispensary PastSince May 26, 2024 Accepting new patients

Locations

1098 Farmington Ave
Bristol, CT 06010
Phone (860) 589-6433

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1306685672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOUNTAINVIEW TER UNIT 4134",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104183",
            "telephone_number": "203-644-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104705",
            "telephone_number": "860-973-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLERS",
        "first_name": "CHAUNCEY",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.