Rebecca Carolyn Antonaccio, LPC
Individual provider Active NPI Professional Counselor · Torrington, CT
NPI 1891556544 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1891556544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 7016 (CT)
- Practice address
- 30 Peck Rd Ste 1212
Torrington, CT 06790-6123 - Phone
- (860) 351-3381
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Charlotte Hungerford Hospital
Practice addresses (Care Compare)
540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-9669
Hospital & facility affiliations
- Charlotte Hungerford 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 |
|---|---|---|---|---|
| I20250218000098 | CT | Practitioner - Mental Health Counselor | 3375063605 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7016 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte Hungerford Hospital | Current |
Accepting new patients | |
| The Charlotte Hungerford Hospital | Current |
Accepting new patients |
Locations
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7016 | CT | Yes |
Addresses
Primary practice location
30 Peck Rd Ste 1212
Torrington, CT 06790-6123
Mailing address
30 Peck Rd Ste 1212
Torrington, CT 06790-6123
Phone (860) 351-3381
Other practice location 1
896 Bantam Road
Bantam, CT 06750
Phone (860) 351-3381
Other providers in Torrington, CT
- Lynn M Anderson
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- Carla Hooper Angevine
- Chioma Antonia Ihunnah Anjou
- Melissa Antarsh
- Aparna Oltikar MD LLC
- April E. Mott MD LLC
- Fabricio L Arevalo
- Joyce S. Armstrong
- Allison Arnista
All providers in Torrington, 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 Jul 16, 2024. 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.