Individual provider Active NPI

Jaiashrie Donna Lentini, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Windsor, CT
National Provider Identifier
1467021907
Registry record updated Jun 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001342 Issued in CT
Practice address
340 Broad St Ste 204
Windsor, CT 06095-3030
Phone
(860) 378-5614
NPI assigned
Jun 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001342 CT Primary

Addresses

Primary practice location

340 Broad St Ste 204
Windsor, CT 06095-3030

Mailing address

340 Broad St Ste 204
Windsor, CT 06095-3030
Phone (860) 378-5614

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Theranest Direct

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

State licenses

LicenseStateTypeSpecialty
001342CTMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1467021907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROAD ST STE 204",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-378-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROAD ST STE 204",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-378-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTINI",
        "first_name": "JAIASHRIE",
        "middle_name": "DONNA",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-20",
        "last_updated": "2021-06-20",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "340 Broad St Ste 204",
            "city": "Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060953030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.