Thomas J. Butcher, M.A., LPC
Individual provider Active NPI Professional Counselor · East Lyme, CT
NPI 1497003016 · NPPES record last updated Aug 29, 2012
Key facts
- NPI
- 1497003016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 00508 (CT)
- Practice address
- 315 Flanders Rd
Suite a
East Lyme, CT 06333-1711 - Phone
- (860) 739-8271
- Fax
- (860) 887-7109
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00508 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00508 | CT | Yes |
Addresses
Primary practice location
315 Flanders Rd
Suite a
East Lyme, CT 06333-1711
Mailing address
315 Flanders Rd
Suite a
East Lyme, CT 06333-1711
Phone (860) 739-8271
Other providers in East Lyme, CT
- Arnold Emery Benak Jr.
- Caitlin Blackburn
- Amy Blodgett
- Renee Ann Brown
- B Geoffrey Burnham
- Alijah Brooke Cafro
- Leah Cagney-Vella
- Katie Camann
- Lindsay Capone
- Cardinal Home Health Care Inc.
All providers in East Lyme, 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 Aug 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.