Santiago L. Aguirre, MS,LPC

Individual provider Active NPI Professional Counselor · Monroe, CT

NPI 1346537818 · NPPES record last updated May 7, 2014

Key facts

NPI
1346537818
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
002079 (CT)
Practice address
518 Monroe Tpke
Monroe, CT 06468-2358
Phone
(203) 258-6326
Fax
(203) 452-0405
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002079CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Chiropractic PC Past Accepting new patients
Virtue Health, LLC Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002079 CT Yes

Addresses

Primary practice location

518 Monroe Tpke
Monroe, CT 06468-2358

Mailing address

195 Albright Ave
Stratford, CT 06614-3064
Phone (203) 386-0357

Other providers in Monroe, CT

All providers in Monroe, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.