Tracey Dineen-Hutchins, LPC, LADC
Individual provider Active NPI Professional Counselor · Niantic, CT
NPI 1881965440 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1881965440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 000714 (CT)
- Practice address
- 22 Pennslyvania Ave
Suite 8
Niantic, CT 06357-3231 - Phone
- (860) 861-7047
- NPI assigned
- Jan 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 000713 | CT | MD | Marriage & Family Therapist |
| 000714 | CT | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000713 | CT | |
| Professional Counselor | 101YP2500X | 000714 | CT | Yes |
Addresses
Primary practice location
22 Pennslyvania Ave
Suite 8
Niantic, CT 06357-3231
Mailing address
972 Ekonk Hill Rd
Voluntown, CT 06384-1004
Other providers in Niantic, CT
- Nicole Danish
- Agnes Z. Dardas
- David D Thompson Jr & Robert a Linden PTR
- Detox Virtually
- Pamela Dhillon
- Brittany Dolce
- Penelope Ann Donahue
- Abel A Donka
- Dr Jillian Bradley LLC
- Driftwood Behavioral Health and Wellness LLC
All providers in Niantic, 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 Oct 9, 2018. 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.