Individual provider Active NPI

Lisa Marie Besek, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, CT
National Provider Identifier
1548009285
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1564 Issued in CT
Practice address
335 Broad St
Manchester, CT 06040-4036
Phone
(860) 643-3210
Fax
(860) 643-3211
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1564 CT Primary

Addresses

Primary practice location

335 Broad St
Manchester, CT 06040-4036

Mailing address

57 Peters Cir
Southington, CT 06489-3714
Phone (203) 848-8849

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
I20240828002335 CT Practitioner - Mental Health Counselor 6204375785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Quiet Mind Addiction Healing Addiction (Substance Use Disorder) Current Accepting new patients
Hartford Dispensary Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

345 Main St
Hartford, CT 06106
Phone (860) 293-3101

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1548009285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PETERS CIR",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893714",
            "telephone_number": "203-848-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BROAD ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404036",
            "telephone_number": "860-643-3210",
            "fax_number": "860-643-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESEK",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.