Individual provider Active NPI

Dawn Patston, LMFT

  • Mental Health Counselor
  • Bridgeport, CT
National Provider Identifier
1508137381
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001280 Issued in CT
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

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003340 CT Practitioner - Marriage and Family Therapist 2062860901 Reassigns benefits to 1 organization

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
Connecticut Renaissance, Inc.Group PAC ID 0941253728, 5 clinicians

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

LicenseStateTypeSpecialty
001280CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Renaissance, Inc. CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.