Mary Jane Bezares, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3283 Issued in CT

Practice address

81 W Main St Ste B
New Britain, CT 06051-4221

Phone

(860) 833-1919

NPI assigned

Feb 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Embrace Life Therapeutic Services, LLC

  • Professional Counselor
  • New Britain, CT
  • NPI 1548760267

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497255277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HILLSIDE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063821",
            "telephone_number": "860-833-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W MAIN ST STE B",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514221",
            "telephone_number": "860-833-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Race Ave",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "CT",
            "postal_code": "060622838",
            "country_code": "US",
            "telephone_number": "860-833-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEZARES",
        "first_name": "MARY JANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Yanet Betalleluz, LCSW
• Helen Betgivargis, LA.C.
• Ellen Holbrook Beth, PA-C
• Laura Elizabeth Beveridge, APRN
• Mohamad Beydoun, DMD
• Sudhir K Bhatnagar, MD
• Nirmala Bhatt, MD
• Bhushan C Gupta MD LLC
• Jessica Bialecki, LMSW
• Kathryn Bialecki, AUDIOLOGIST

• All providers in New Britain, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.