Individual provider Active NPI

Heather Marie Vershay, M.A.

  • Addiction (Substance Use Disorder) Counselor
  • Hartford, CT
National Provider Identifier
1952722845
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
55 Fishfry St
Hartford, CT 06120-1203
Phone
(860) 247-8300
Fax
(860) 548-7325
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

55 Fishfry St
Hartford, CT 06120-1203

Mailing address

55 Fishfry St
Hartford, CT 06120-1203
Phone (860) 247-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240825000009 CT Practitioner - Mental Health Counselor 0446799258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dispensary CurrentSince Aug 1, 2024 Accepting new patients
Community Physicians PC Past Accepting new patients
Community Substance Abuse Centers, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1098 Farmington Ave
Bristol, CT 06010
Phone (860) 589-6433

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1952722845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FISHFRY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201203",
            "telephone_number": "860-247-8300",
            "fax_number": "860-548-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FISHFRY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201203",
            "telephone_number": "860-247-8300",
            "fax_number": "860-548-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSHAY",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.