MS. ELLIE LUPERON (NPI# 1043563042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043563042 |
| Entity Type | Individual |
| Full Name | MS. ELLIE LUPERON |
| Other Name | ELIAYNE LUPERON |
| Credential | LADC |
| Practice Address |
191 E Quasset Rd Woodstock CT 06281-3307 |
| Practice Telephone | 6177858127 |
| Mailing Telephone | 6177858127 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MA | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MA | Behavioral Health & Social Service Providers | |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1043563042 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 328 Main St, Southbridge, MA 015503794 | 5087659101 |
| Street Address |
191 E QUASSET RD |
| City | WOODSTOCK |
| State | CT |
| Zip Code | 06281-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649506445 | Rose Kihara | Nurse Practitioner | 39 Route 171, Woodstock, CT 06281 | 2009-10-29 |
| 1366518771 | Noreen Wallace | Occupational Therapist | 602 Rte 169, Woodstock, CT 06281 | 2006-11-28 |
| 1629168059 | William Shevin | General Practice | 50 Applewood Dr, Woodstock, CT 06281 | 2006-10-14 |
| 1952890105 | Rose Kihara Nurse Practitioner LLC | Clinic/Center | 39 Route 171, Woodstock, CT 06281 | 2018-05-03 |
| 1679759310 | Therapeutic Enterprises Inc. | Occupational Therapist | 602 Route 169, Woodstock, CT 06281 | 2008-01-11 |
| 1093320913 | Lindsay Jean Young | Counselor | 241 Senexet Rd, Woodstock, CT 06281-0628 | 2020-09-09 |
| 1932661709 | Provident Properties LLC | Counselor | 283 Route 169, Woodstock, CT 06281-0628 | 2019-04-02 |
| 1538425871 | Christina Cook | Speech-Language Pathologist | 1774b Route 197, Woodstock, CT 06281-1228 | 2012-04-11 |
| 1659624344 | Quiet Corner Speech & Language LLC | Speech-Language Pathologist | 1774b Route 197, Woodstock, CT 06281-1228 | 2012-10-18 |
| 1780931865 | Deborah Deschamps | Counselor | 46 Lebanon Hill Rd, Woodstock, CT 06281-1324 | 2012-08-08 |
| Find all providers in zip 06281 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901340 | Esfahani Enterprises LLC | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2019-09-12 |
| 1710548730 | Tabitha Doyle | Counselor | 203 Woodpark Pl Bldg B2, Woodstock, GA 30188-3705 | 2019-06-21 |
| 1285107524 | Melissa Floyd Hall | Counselor | 4595 Towne Lake Pkwy Ste 150, Woodstock, GA 30189-5514 | 2019-01-09 |
| 1922526987 | Mckenna Smith | Counselor | 2031 Willow Brooke Dr Apt 2c, Woodstock, IL 60098-5211 | 2017-08-30 |
| 1114465713 | Tranquility Counseling Services, LLC | Counselor | 8744 Main St, Suite 303, Woodstock, GA 30188-4926 | 2017-02-03 |
| 1144772690 | Daniel Reid | Counselor | 202 Swanee Ln, Woodstock, GA 30188-7802 | 2016-11-01 |
| 1417400854 | Chelsea Vlcek | Counselor | 1211 Mitchell St, Woodstock, IL 60098-3641 | 2016-08-02 |
| 1861844128 | Chelsea Lynn Hill | Counselor | 226 Allison Dr, Woodstock, GA 30188-5729 | 2016-07-11 |
| 1588020044 | Brenda Mcburnie | Counselor | 255grimes Road, Woodstock, GA 30188 | 2016-01-13 |
| 1033599279 | Leah Tamar Epelbaum | Counselor | 203 Woodpark Pl Bldg B2nd, Woodstock, GA 30188-3705 | 2015-06-03 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.