Active NPI
Teresa O Ferraro, LPC
- Professional Counselor
- New Haven, CT
National Provider Identifier
1588973267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3191
- Practice address
- 52 Howe St
New Haven, CT 06511 - Phone
- (203) 786-5316
- Fax
- (203) 786-5452
- NPI assigned
- Sep 29, 2010
- Last updated
- Oct 17, 2019
- 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 | 3191 | CT | Primary |
Addresses
Primary practice location
52 Howe St
New Haven, CT 06511
Mailing address
121 Cottage St
Trumbull, CT 06611-2842
Phone (203) 901-4127
Other practice location 1
98-100 Park St
New Haven, CT 06511-5402
Phone (203) 848-3061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004040655 | Medicaid | CT |
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 |
|---|---|---|---|
| 3191 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Connection Inc | Past | Accepting new patients | |
| The Connection, Inc | Past | Accepting new patients |
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.
-
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- New Haven, CT
- NPI 1235575408
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- Adult Mental Health Clinic/Center
- New Haven, CT
- NPI 1649571456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1588973267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 COTTAGE ST",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066112842",
"telephone_number": "203-901-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 HOWE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-786-5316",
"fax_number": "203-786-5452"
}
],
"practiceLocations": [
{
"address_1": "98-100 Park St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065115402",
"country_code": "US",
"telephone_number": "203-848-3061",
"fax_number": "203-848-3065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRARO",
"first_name": "TERESA",
"middle_name": "O",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004040655",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.