Active NPI
Daniel J Fallon, LPC
- Professional Counselor
- New Britain, CT
National Provider Identifier
1467718411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000392
- Practice address
- 19 Bassett St
Suite 203
New Britain, CT 06051-3034 - Phone
- (860) 357-5532
- Fax
- (860) 357-5538
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- 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 | 000392 | CT | Primary |
Addresses
Primary practice location
19 Bassett St
Suite 203
New Britain, CT 06051-3034
Mailing address
PO Box 162
New Britain, CT 06050-0162
Phone (860) 357-5532
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000392 | CT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1467718411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060500162",
"telephone_number": "860-357-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BASSETT ST",
"address_2": "SUITE 203",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060513034",
"telephone_number": "860-357-5532",
"fax_number": "860-357-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000392",
"primary": true
}
],
"identifiers": [],
"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 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.