Individual provider Active NPI

Suzanne C Andreyev

  • Professional Counselor
  • Cheshire, CT
National Provider Identifier
1760832299
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0000074 Issued in CT
Practice address
106 Thorn Hollow Rd
Cheshire, CT 06410-2960
Phone
(860) 965-0444
NPI assigned
Jun 15, 2016
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0000074 CT Primary

Addresses

Primary practice location

106 Thorn Hollow Rd
Cheshire, CT 06410-2960

Mailing address

106 Thorn Hollow Rd
Cheshire, CT 06410-2960
Phone (860) 965-0444

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
I20240313003367 CT Practitioner - Mental Health Counselor 9234575184 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000074CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rushford Center, Inc. CurrentSince Jan 31, 2024 Accepting new patients
Apple Valley Behavioral Health LLC Professional CurrentSince Jun 25, 2024 Accepting new patients

Locations

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1760832299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 THORN HOLLOW RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102960",
            "telephone_number": "860-965-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THORN HOLLOW RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102960",
            "telephone_number": "860-965-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREYEV",
        "first_name": "SUZANNE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "0000074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.