Andrea E Bertolozzi, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4274 Issued in CT

Practice address

2800 Main St
Bridgeport, CT 06606-4292

Phone

(203) 414-7728

NPI assigned

Dec 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: andreae.bertolozzi@xdr.hhchealthdirect.org

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1760070106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 KINGS HWY E",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254858",
            "telephone_number": "203-414-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064292",
            "telephone_number": "203-414-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLOZZI",
        "first_name": "ANDREA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Bernardi, P.A.C.
• Frances Berrios, MS
• Jocelyn Berrios
• Shirley Berrios, LCSW
• Christine Margaret Berte, APRN-BC
• Fantashia Best
• BH Northbridge LLC
• Nimesh Bhargava, R.D.
• Jitendra Bhagwandas Bharucha, M.D.
• Mamata J Bharucha, MD

• All providers in Bridgeport, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.