Individual provider Active NPI

Giuseppina Lisa Pontbriand, LPC, ATR

  • Professional Counselor
  • New Britain, CT
National Provider Identifier
1407968282
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CT001401 Issued in CT
Practice address
67 Oneida St
New Britain, CT 06053-2419
Phone
(860) 667-0088
Fax
(860) 775-2400
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 CT001401 CT Primary

Addresses

Primary practice location

67 Oneida St
New Britain, CT 06053-2419

Mailing address

67 Oneida St
New Britain, CT 06053-2419
Phone (860) 667-0088

Other identifiers 3

IdentifierTypeStateIssuer
240001401CT01OtherCTANTHEM
004257780MedicaidCT
ZCN89660OtherCTAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 6, 2024 through Mar 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CT001401CTMDProfessional Counselor
1401CTMDEyewear Supplier

Interoperability endpoints

  • Direct secure messaging: giuseppina.pontbriand.p1@direct.wheelerclinic.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1407968282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ONEIDA ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532419",
            "telephone_number": "860-667-0088",
            "fax_number": "860-775-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ONEIDA ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532419",
            "telephone_number": "860-667-0088",
            "fax_number": "860-775-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTBRIAND",
        "first_name": "GIUSEPPINA",
        "middle_name": "LISA",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "CT001401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "240001401CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004257780",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "ZCN89660",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.