Individual provider Active NPI

Marie Courtemanche, LADC,CAC,SCCD

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1598882227
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3542 Issued in CT
Practice address
402 E Main St
Waterbury, CT 06702-1701
Phone
(203) 755-1143
Fax
(203) 755-1147
NPI assigned
Mar 26, 2007
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000563 CT
Professional Counselor 101YP2500X 3542 CT Primary
Counselor 101Y00000X CAC-SCCD 4441 CT

Addresses

Primary practice location

402 E Main St
Waterbury, CT 06702-1701

Mailing address

141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000

Other names 1

  • Ms. Marie Santopietro Former name

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
I20240321000162 CT Practitioner - Mental Health Counselor 7618314014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

70 Cherry St
Milford, CT 06460-3413
Phone (203) 828-1114

846 Farmington Ave
Suite 4
West Hartford, CT 06119-1554
Phone (203) 828-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC-SCCD 4441CTMDCounselor
3542CTMDClinical Social Worker
000563CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Incorporated CurrentSince Jan 28, 2024 Accepting new patients

Locations

420 N Main St
Bristol, CT 06010
Phone (860) 314-4400

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1598882227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021701",
            "telephone_number": "203-755-1143",
            "fax_number": "203-755-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTEMANCHE",
        "first_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LADC,CAC,SCCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000563",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3542",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "CAC-SCCD 4441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SANTOPIETRO",
            "prefix": "MS.",
            "credential": "LADC,CAC,SCCD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.