Individual provider Active NPI

Adrian Torres, LPC

  • Professional Counselor
  • East Hartford, CT
National Provider Identifier
1336655992
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
474R School St
East Hartford, CT 06108
Phone
(860) 730-8811
Fax
(860) 730-8813
NPI assigned
Dec 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3289 CT
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

474R School St
East Hartford, CT 06108

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1587
Phone (860) 731-5522

Other practice location 1

2550 Main St
Hartford, CT 06120-1936
Phone (860) 548-0101

Other practice location 2

2550 Main St
Hartford, CT 06120-1936
Phone (860) 548-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514002804 CT Practitioner - Mental Health Counselor 3678914280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mellahealth LLCGroup PAC ID 9032528658, 23 clinicians

Practice addresses (Care Compare)

125 Lasalle Rd
Suite 300
West Hartford, CT 06107-2311
Phone (860) 810-0587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3289CTMDMarriage & Family Therapist
003289CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mellahealth LLC Professional CurrentSince Apr 2, 2024 Accepting new patients
Ruby Psychiatric Services, PLLC Past Accepting new patients
Community Health Resources, Inc. Past Accepting new patients

Locations

125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 342-8192

Organizations & group practices 3

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1336655992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATERSIDE XING STE 401",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951587",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474R SCHOOL ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06108",
            "telephone_number": "860-730-8811",
            "fax_number": "860-730-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Main St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061201936",
            "country_code": "US",
            "telephone_number": "860-548-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Main St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061201936",
            "country_code": "US",
            "telephone_number": "860-548-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "ADRIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "3289",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.