Tavia-Simone Bascuine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

58.010762 Issued in CT

Practice address

300 Boston Post Rd
West Haven, CT 06516

Phone

(203) 932-7330

NPI assigned

Aug 19, 2015

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taviasimone.bascuine.p1@direct.wheelerclinic.nextgenshare.com

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.

• Crescent Counseling and Wellness LLC

  dba Crescent Counseling and Wellness

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1083342000
  NPD Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1750757126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN STREET",
            "address_2": "#143",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "06023",
            "telephone_number": "203-932-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOSTON POST RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-932-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCUINE",
        "first_name": "TAVIA-SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "MSW.002363",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "58.010762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R Barringer, APRN
• Jaimie Douglass Barron, DPT
• Stacia Barry, LCSW
• Karen Bartley, DDS
• John Bartlomiejczyk, RPH
• Gwendolyn Anne Bassett, MSW
• Lori Anne Bastian, MD
• Margaret Bauer, PHD
• Victoria Mary Bauer, MSW
• Baybrook Dental

• Mental Health Counselor in West Haven, CT
• Providers in West Haven, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.