Active NPI
Grazyna Salus, MA LPC
- Mental Health Counselor
- Farmington, CT
National Provider Identifier
1356300016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000571
- Practice address
- 1031 Farmington Ave
Farmington, CT 06032 - Phone
- (860) 677-2550
- Fax
- (860) 677-4975
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000571 | CT | Primary |
Addresses
Primary practice location
1031 Farmington Ave
Farmington, CT 06032
Mailing address
1031 Farmington Ave
Farmington, CT 06032
Phone (860) 677-2550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272753 | Other | VALUE OPTIONS | |
| 240000571CT01 | Other | CT | BLUE CROSS |
| 241317 | Other | MANAGED HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000571 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1356300016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "06032",
"telephone_number": "860-677-2550",
"fax_number": "860-677-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "06032",
"telephone_number": "860-677-2550",
"fax_number": "860-677-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALUS",
"first_name": "GRAZYNA",
"name_prefix": "Ms.",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "000571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "272753",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "240000571CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH",
"identifier": "241317",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.