NPIMap

Organization Active NPI

Advanced Psychotherapy Practice LLC

  • Addiction (Substance Use Disorder) Counselor
  • Stratford, CT
National Provider Identifier
1982349320
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ADVANCED PSYCHOTHERAPY PRACTICE LLC
Practice address
3380 Main St
Stratford, CT 06614-4860
Phone
(203) 526-1959
Fax
(203) 549-0640
NPI assigned
Apr 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Leshae Rice, MS LPC-A LADCNPI 1225350416
Title
Owner
Phone
(203) 908-1076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

3380 Main St
Stratford, CT 06614-4860

Mailing address

193 Quinnipiac St Apt 2
Wallingford, CT 06492-3767
Phone (203) 908-1076

Other identifiers 2

IdentifierTypeStateIssuer
008044044MedicaidCT
008126019MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.advancedpsyc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3380 Main St
Fl 2
Stratford, CT 06614
Phone (203) 526-1959

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1982349320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 QUINNIPIAC ST APT 2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923767",
            "telephone_number": "203-908-1076",
            "fax_number": "203-526-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144860",
            "telephone_number": "203-526-1959",
            "fax_number": "203-549-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOTHERAPY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-30",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "LESHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-908-1076",
        "authorized_official_credential": "MS LPC-A LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008044044",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008126019",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.advancedpsyc.com",
            "affiliation": "N",
            "endpointDescription": "Web address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3380 Main St",
            "city": "Stratford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066144860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.