Waterbury Counseling Affiliates

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WATERBURY COUNSELING AFFILIATES

Practice address

1078 W Main St
Waterbury, CT 06708

Phone

(203) 753-8336

Fax

(203) 253-7618

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Coon Howard, MSW LCSWNPI 1598758872

Title

Partner

Phone

(203) 753-8336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Coon Howard, LCSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1598758872
  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen M Boucher, LCSW MSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1023191756
  Medicare reassignment Care Compare group NPD
• Ashley Stokes Dowty, LMSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1861042111
  NPD
• Jeanna M Spatta, LCSW

  • Clinical Social Worker
  • Danbury, CT
  • NPI 1063585461
  NPD
• Paul Francis Czarzasty, D.M.D.

  • General Practice Dentistry
  • Waterbury, CT
  • NPI 1346364460
  NPD (past)
• Deanna Hale Pico, LCSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1255353140
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1780876078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WEST MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-753-8336",
            "fax_number": "203-253-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-753-8336",
            "fax_number": "203-253-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY COUNSELING AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "COON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-753-8336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Nicole Warren, PA-C
• Lori A Washenko, APRN, NP-C
• Waterbury Anesthesiology Assoc. Inc
• Waterbury Center for Nursing & Rehabilitation, LLC
• Waterbury Chiropractic Office LLC (Active Life Chiropractic)
• Waterbury Dental Care P.C.
• Waterbury Dental Care, P.C.
• Waterbury Eye Associates LLC
• Waterbury Family Chiropractic, LLC
• Waterbury Family Dental P.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.