Trista Albert, LPC
Individual provider Active NPI Professional Counselor · Manchester, CT
NPI 1902347487 · NPPES record last updated Mar 29, 2017
Key facts
- NPI
- 1902347487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 002952 (CT)
- Practice address
- 71 Haynes St
Manchester, CT 06040-4131 - Phone
- (860) 371-7715
- NPI assigned
- Mar 16, 2017
- 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 |
|---|---|---|---|
| 002952 | CT | MD | Oncology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristaalbert, LLC | Professional | Past | Accepting new patients |
Interoperability endpoints
- trista.albert@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002952 | CT | Yes |
Addresses
Primary practice location
71 Haynes St
Manchester, CT 06040-4131
Mailing address
13 Mountain Laurel LN
Chaplin, CT 06235-2651
Phone (860) 371-7715
Other providers in Manchester, CT
- Yasmeen Alam
- Jorge Alba
- Margaret A Albee
- Nancy Alberghini
- Ronald J Albert
- Alcon Counseling & Wellness Services LLC
- Justin Alessio
- Bethany Alexander
- Erik Alexander
- Kareem Atiba Alexis
All providers in Manchester, 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 Mar 29, 2017. 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.