Active NPI
Suzanne Pascoe
- Professional Counselor
- Old Saybrook, CT
National Provider Identifier
1639299480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000306
- Practice address
- 322 Main St
Old Saybrook, CT 06475-2350 - Phone
- (860) 395-3190
- Fax
- (860) 395-3189
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 000306 | CT | Primary |
Addresses
Primary practice location
322 Main St
Old Saybrook, CT 06475-2350
Mailing address
322 Main St
Old Saybrook, CT 06475-2350
Phone (860) 395-3190
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 |
|---|---|---|---|
| 000306 | CT | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Center for Learning & Behavioral Health, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639299480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752350",
"telephone_number": "860-395-3190",
"fax_number": "860-395-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752350",
"telephone_number": "860-395-3190",
"fax_number": "860-395-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCOE",
"first_name": "SUZANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.