Active NPI
Ashley Zavalko
- Professional Counselor
- Seymour, CT
National Provider Identifier
1760847263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3331
- Practice address
- 151 Main St Ste 2a
Seymour, CT 06483-3137 - Phone
- (475) 522-1005
- NPI assigned
- Dec 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001171 | CT | |
| Professional Counselor | 101YP2500X | 3331 | CT | Primary |
Addresses
Primary practice location
151 Main St Ste 2a
Seymour, CT 06483-3137
Mailing address
102 Pearl St
Seymour, CT 06483-3708
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 |
|---|---|---|---|
| 001171 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlimited Enlightenment, LLC | Professional | Current | Accepting new patients |
Locations
151 Main St
Ste 2A
Seymour, CT 06483
Phone (475) 522-1005
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1760847263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PEARL ST",
"city": "SEYMOUR",
"state": "CT",
"postal_code": "064833708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MAIN ST STE 2A",
"city": "SEYMOUR",
"state": "CT",
"postal_code": "064833137",
"telephone_number": "475-522-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALKO",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "001171",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seymour, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.