Active NPI
Giuseppina Lisa Pontbriand, LPC, ATR
- Professional Counselor
- New Britain, CT
National Provider Identifier
1407968282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CT001401
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240001401CT01 | Other | CT | ANTHEM |
| 004257780 | Medicaid | CT | |
| ZCN89660 | Other | CT | AETNA |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| CT001401 | CT | MD | Professional Counselor |
| 1401 | CT | MD | Eyewear Supplier |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.