Christine Anderson
Individual provider Active NPI Professional Counselor · Norwich, CT
NPI 1821472291 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1821472291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5405 (CT)
- Practice address
- 326 Washington St
Norwich, CT 06360-2740 - Phone
- (860) 889-8331
- NPI assigned
- Jul 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Windham Community Memorial Hospital Inc
Practice addresses (Care Compare)
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-9116
Hospital & facility affiliations
- Windham Community Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240209000628 | CT | Practitioner - Mental Health Counselor | 7012350788 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5405 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The William W Backus Hospital | Current |
Accepting new patients | |
| William W Backus Hospital | Current |
Accepting new patients | |
| Windham Community Memorial Hospital, Inc. | Current |
Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 5405 | CT | Yes |
Addresses
Primary practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
250 Dewey Ave
Spartanburg, SC 29303-3009
Phone (864) 585-0366
Other practice location 1
250 Dewey Ave
Spartanburg, SC 29303-3009
Phone (864) 585-0366 ext. 253
Other providers in Norwich, CT
- Rita Cecile Ammons
- Anchored Hope Counseling
- Kristie Andersen
- Amelia Anderson
- Amy Lynne Anderson
- Nancy Anderson
- Sophia Elizabeth Andrew
- Katherine Andrias
- Larisa Anisimov
- Jackilyn Annelli
All providers in Norwich, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.