Active NPI
Dawn Patston, LMFT
- Mental Health Counselor
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001280
- Practice address
- 1120 Main St
Bridgeport, CT 06604-4404 - Phone
- (203) 333-2040
- Fax
- (203) 333-2152
- NPI assigned
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001280 | CT | |
| Mental Health Counselor | 101YM0800X | 001280 | CT | Primary |
Addresses
Primary practice location
1120 Main St
Bridgeport, CT 06604-4404
Mailing address
350 Fairfield Ave
Suite 701
Bridgeport, CT 06604-6014
Phone (203) 336-5225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Byington PL
Norwalk, CT 06850-3309
Phone (203) 866-2541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001280 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Renaissance, Inc. | Current | Accepting new patients | |
| Connecticut Renaissance, Inc. | Current | Accepting new patients | |
| Connecticut Renaissance, Inc | Past | Accepting new patients |
Locations
1120 Main St
Bridgeport, CT 06604
Phone (203) 367-6827
350 Fairfield Ave
Ste 701
Bridgeport, CT 06604
Phone (203) 336-5225
1126 Main St
Bridgeport, CT 06604
Phone (203) 331-1503
4 Byington Pl
Norwalk, CT 06850
Phone 20333652252108
1 Waterview Dr
Ste 202
Shelton, CT 06484
Phone (203) 336-5225
525 Wolcott St
Waterbury, CT 06705
Phone (203) 568-6190
Organizations & group practices 3
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Stamford, CT
- NPI 1700893807
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Waterbury, CT
- NPI 1700352721
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, CT
- NPI 1265449359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1508137381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FAIRFIELD AVE",
"address_2": "SUITE 701",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066046014",
"telephone_number": "203-336-5225",
"fax_number": "203-336-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044404",
"telephone_number": "203-333-2040",
"fax_number": "203-333-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATSTON",
"first_name": "DAWN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "001280",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "001280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.