Individual provider Active NPI

Andrea Becker-Abbott, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Wolcott, CT
National Provider Identifier
1346608148
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAC5468 Issued in CT
Practice address
1776 Meriden Rd
Wolcott, CT 06716-3341
Phone
(860) 601-1279
NPI assigned
Feb 8, 2016
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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 CAC5468 CT Primary

Addresses

Primary practice location

1776 Meriden Rd
Wolcott, CT 06716-3341

Mailing address

134 East St
Litchfield, CT 06759-3636
Phone (860) 601-1279

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
I20240821000431 CT Practitioner - Mental Health Counselor 0749728848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC5468CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea and Associates LLC Addiction (Substance Use Disorder) CurrentSince Aug 3, 2024 Accepting new patients

Locations

1789 New Britain Ave
Farmington, CT 06032
Phone (860) 754-3507

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, 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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1346608148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EAST ST",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593636",
            "telephone_number": "860-601-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 MERIDEN RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067163341",
            "telephone_number": "860-601-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-ABBOTT",
        "first_name": "ANDREA",
        "credential": "CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "CAC5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, CT

Sources for this page

Verify at the official NPI Registry.