Mary Elizabeth Davidson-Reed, MA, CRC
Individual provider Active NPI Professional Counselor · Danielson, CT
NPI 1477052116 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1477052116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 245 Main St
Danielson, CT 06239-2816 - Phone
- (888) 316-5221
- Fax
- (866) 203-2138
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regeneration Therapy and Counseling LLC
Practice addresses (Care Compare)
245 Main St
Danielson, CT 06239-2816
Phone (888) 316-5221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240110003792 | CT | Practitioner - Mental Health Counselor | 5698126910 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regeneration Therapy and Counseling LLC | Professional | Current |
Accepting new patients |
Locations
245 Main St
Danielson, CT 06239
Phone (401) 935-3824
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes | ||
| Mental Health Counselor |
101YM0800X |
Addresses
Primary practice location
245 Main St
Danielson, CT 06239-2816
Mailing address
1007 N Main St
Dayville, CT 06241-2170
Phone (860) 774-2020
Other providers in Danielson, CT
- Danielson Medical Associates, P.C.
- Danielson Pharmacy Inc
- Danielson Pharmacy Inc
- Danielson Pharmacy LLC
- Danielson Pharmacy LLC
- Marguerite Mary Davis
- Tamra J Davis
- Joseph Arthur Deangelis
- Lindsay Delaire
- Jessica Delaney
All providers in Danielson, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.