Maria Cicero Barber, LPC
Individual provider Active NPI Professional Counselor · Moodus, CT
NPI 1831864636 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1831864636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3849 (CT)
- Practice address
- 16 Rae Palmer Rd
Moodus, CT 06469-1195 - Phone
- (860) 883-8649
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000349 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth and Wellness Therapy, LLC | Current |
Accepting new patients |
Locations
16 Rae Palmer Rd
Moodus, CT 06469
Phone (860) 883-8649
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000349 | CT | |
| Professional Counselor | 101YP2500X | 3849 | CT | Yes |
Addresses
Primary practice location
16 Rae Palmer Rd
Moodus, CT 06469-1195
Mailing address
123 Smith Rd
East Haddam, CT 06423-1251
Phone (860) 883-8649
Other providers in Moodus, CT
- Elizabeth Almquist
- Terri Augustine
- Jeff Baker
- Elyse Laurie Barker
- Tanisha Bergeron
- Bridges Counseling and Wellness PLLC
- Katrina Casey
- Chestelm Adult Day Services Inc
All providers in Moodus, 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 Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.