Individual provider Active NPI

Brittney Stanley

  • Professional Counselor
  • Glastonbury, CT
National Provider Identifier
1881073195
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6355594 Issued in CT
Practice address
122 Naubuc Ave Ste 104
Glastonbury, CT 06033
Phone
(860) 576-1931
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 6355594 CT Primary

Addresses

Primary practice location

122 Naubuc Ave Ste 104
Glastonbury, CT 06033

Mailing address

PO Box 583
South Glastonbury, CT 06073-0583
Phone (860) 576-1931

Other practice location 1

130 Cranberry Bog Rd
Apt W
Danielson, CT 06239-3338
Phone (860) 576-1931

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

LicenseStateTypeSpecialty
6355594CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstone Counseling PLLC Professional Past Accepting new patients

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1881073195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060730583",
            "telephone_number": "860-576-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NAUBUC AVE STE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-576-1931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Cranberry Bog Rd",
            "address_2": "Apt W",
            "address_purpose": "LOCATION",
            "city": "Danielson",
            "state": "CT",
            "postal_code": "062393338",
            "country_code": "US",
            "telephone_number": "860-576-1931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "BRITTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6355594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.