Individual provider Active NPI

Adriana Restrepo-Powers, LMFT

  • Counselor
  • Guilford, CT
National Provider Identifier
1912053786
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
35 Boston St Ste 2
Guilford, CT 06437-2817
Phone
(203) 907-5995
Fax
(203) 453-5684
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001536 CT
Counselor 101Y00000X Primary

Addresses

Primary practice location

35 Boston St Ste 2
Guilford, CT 06437-2817

Mailing address

35 Boston St Ste 2
Guilford, CT 06437-2817
Phone (203) 907-5995

Other practice location 1

91 Northwest Dr
Plainville, CT 06062-1534
Phone (860) 793-3586

Other identifiers 1

IdentifierTypeStateIssuer
1912053786MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Guilford Direct

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
001536CTMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1912053786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BOSTON ST STE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372817",
            "telephone_number": "203-907-5995",
            "fax_number": "203-453-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BOSTON ST STE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372817",
            "telephone_number": "203-907-5995",
            "fax_number": "203-453-5684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Northwest Dr",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "CT",
            "postal_code": "060621534",
            "country_code": "US",
            "telephone_number": "860-793-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESTREPO-POWERS",
        "first_name": "ADRIANA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001536",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912053786",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Guilford",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Guilford",
            "address_1": "35 Boston St Ste 2",
            "city": "Guilford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064372817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.