Organization Active NPI

Wade Lindsay Chartier Ma Ladc

  • Addiction (Substance Use Disorder) Counselor
  • Mystic, CT
National Provider Identifier
1891469508
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
WADE LINDSAY CHARTIER MA LADC
Practice address
1101 Noank Ledyard Rd Unit 12
Mystic, CT 06355-1361
Phone
(860) 227-6092
Fax
(860) 850-1031
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Mrs. Wade Lindsay Chartier, LADCNPI 1194153296
Title
Alcohol and Drug Counselor
Phone
(860) 227-6092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1101 Noank Ledyard Rd Unit 12
Mystic, CT 06355-1361

Mailing address

150 Rogers Lake TRL
Lyme, CT 06371-1239
Phone (860) 227-6092

National Provider Directory

National Provider Directory

Locations

1101 Noank Ledyard Rd
Unit 12
Mystic, CT 06355
Phone (860) 227-6092

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1891469508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ROGERS LAKE TRL",
            "city": "LYME",
            "state": "CT",
            "postal_code": "063711239",
            "telephone_number": "860-227-6092",
            "fax_number": "860-850-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOANK LEDYARD RD UNIT 12",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551361",
            "telephone_number": "860-227-6092",
            "fax_number": "860-850-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE LINDSAY CHARTIER MA LADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "ALCOHOL AND DRUG COUNSELOR",
        "authorized_official_telephone_number": "860-227-6092",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.