Active NPI
Paulette Iris Powell-Reeves, LPC
- Professional Counselor
- Stratford, CT
National Provider Identifier
1508972399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001455
- Practice address
- 2874 Main St
Suite 2 E, Second Floor
Stratford, CT 06614-4957 - Phone
- (203) 540-9898
- NPI assigned
- Aug 22, 2006
- Last updated
- Mar 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001455 | CT | Primary |
Addresses
Primary practice location
2874 Main St
Suite 2 E, Second Floor
Stratford, CT 06614-4957
Mailing address
PO Box 699
Stratford, CT 06615-6646
Phone (203) 258-8213
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11582512 | Other | CAQH ID | |
| 240001455CT01 | Other | CT | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001455 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1508972399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066156646",
"telephone_number": "203-258-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 MAIN ST",
"address_2": "SUITE 2 E, SECOND FLOOR",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066144957",
"telephone_number": "203-540-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL-REEVES",
"first_name": "PAULETTE",
"middle_name": "IRIS",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "11582512",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "240001455CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
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- Alex Christopher Pinto, DPT
- Bianka Kamille Pizarro, FNP-C
- Doris Plavnicky
- Kathleen Porto, PT
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- Anne Pretty, LCSW
- Heather Previs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.