Individual provider Active NPI

Althea C Neel, LPC

  • Professional Counselor
  • East Haven, CT
National Provider Identifier
1407473812
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003460 Issued in CT
Practice address
64 Thompson St # A103104
East Haven, CT 06513-5707
Phone
(203) 691-1685
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003460 CT Primary

Addresses

Primary practice location

64 Thompson St # A103104
East Haven, CT 06513-5707

Mailing address

64 Thompson St # A103104
East Haven, CT 06513-5707
Phone (203) 691-1685

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
I20260428000157 CT Practitioner - Mental Health Counselor 2163999145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

64 Thompson St
Unit A10 104
East Haven, CT 06513-5700

836 Farmington Ave
Suite 102
West Hartford, CT 06119-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003460CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Health & Healing Center LLC CurrentSince Oct 11, 2020 Accepting new patients

Locations

64 Thompson St
#A103104
East Haven, CT 06513
Phone (203) 691-1685

64 Thompson St
Ste A103104
East Haven, CT 06513
Phone (203) 691-1685

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1407473812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST # A103104",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135707",
            "telephone_number": "203-691-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST # A103104",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135707",
            "telephone_number": "203-691-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEL",
        "first_name": "ALTHEA",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.