Active NPI
Darien Anthony Chalecki, LICENSED PROFESSIONA
- Professional Counselor
- Norwich, CT
National Provider Identifier
1376694059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000450
- Practice address
- 331 Main Street
Norwich, CT 06360 - Phone
- (860) 889-8346
- Fax
- (860) 889-2658
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 000450 | CT | Primary |
Addresses
Primary practice location
331 Main Street
Norwich, CT 06360
Mailing address
331 Main Street
Norwich, CT 06360
Phone (860) 889-8346
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
Interoperability endpoints
- darien.chalecki@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1376694059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 MAIN STREET",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-889-8346",
"fax_number": "860-889-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MAIN STREET",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-889-8346",
"fax_number": "860-889-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALECKI",
"first_name": "DARIEN",
"middle_name": "ANTHONY",
"credential": "LICENSED PROFESSIONA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.