Counseling Centers of New England LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5047 Issued in CT

Legal business name

COUNSELING CENTERS OF NEW ENGLAND LLC

Practice address

40 Avon Meadow LN
Avon, CT 06001-3753

Phone

(860) 990-9870

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Peter R Bourque Jr., APRN

Title

Owner

Phone

(860) 990-9870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1982955050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013753",
            "telephone_number": "860-990-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013753",
            "telephone_number": "860-990-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTERS OF NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-990-9870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Harrington Corvino, FNP
• Jeanmarie Cosgrove, D.M.D.
• Arthur Cosmas
• Kathryn Costanzo, DPT
• Lauren Coughlin, OTR/L
• Allison Anne Couture, RN, ACNP, MS
• Dina Cowles, LCSW
• Alicia Cox, MA,CCC-SLP
• Creative Development, LLC
• Creative Solutions Counseling, LLC

• All providers in Avon, CT
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.