Paul Collette

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1340 Issued in CT

Practice address

49 Coolidge Ave
Newington, CT 06111-2302

Phone

(806) 502-0917

NPI assigned

Jun 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Recovery & Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • West Hartford, CT
  • NPI 1902442320
  NPD (past) Authorized official

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1922668698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 COOLIDGE AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112302",
            "telephone_number": "806-502-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 COOLIDGE AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112302",
            "telephone_number": "806-502-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Newington",
            "affiliation": "N",
            "address_1": "49 Coolidge Ave",
            "city": "Newington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061112302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Ann Coakley, LPC, NCC
• Kim Leslie Cohen, LMFT
• Rachel Lauren Cohen, D.M.D.
• Ralph S. Cohen, PH.D.
• Carla Cole, OT
• Peggy Collette, PT
• Stephanie Collin, DC
• Jordan Collins
• Maureen S. Colon
• Roy Colter, DPT

• Addiction (Substance Use Disorder) Counselor in Newington, CT
• Providers in Newington, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.