STACEY BOISSELLE (NPI# 1467824508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467824508 |
| Entity Type | Individual |
| Full Name | STACEY BOISSELLE |
| Credential | LPC |
| Practice Address |
60 Old Town Rd Unit 107 Vernon CT 06066-6404 |
| Mailing Address |
60 Old Town Rd. Unit 107 Vernon CT 06066 |
| Practice Telephone | 8602143113 |
| Mailing Telephone | 8602143113 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002583 | CT | Behavioral Health & Social Service Providers |
| Street Address |
60 OLD TOWN RD UNIT 107 |
| City | VERNON |
| State | CT |
| Zip Code | 06066-6404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518307727 | Teresa Lesky | Counselor | 12 Clover Ln S, Vernon, NJ 07462-3032 | 2013-07-02 |
| 1902147622 | Erica Yvonne Bower | Counselor | 131 Echo Ridge Dr, Vernon, CT 06066-5909 | 2013-03-05 |
| 1467763060 | Carolyn Prince | Counselor | 16 Great Gorge Ter, Vernon, NJ 07462-3801 | 2010-06-29 |
| 1316276751 | Nancy R Kennedy | Counselor | 141 2nd Avenue, Nw, Vernon, AL 35592 | 2009-12-14 |
| 1861676454 | Lois Ann Reinhardt | Counselor | 529 Route 515 /guthrie Corner, Suite 202, Vernon, NJ 07462 | 2007-12-19 |
| 1912005828 | Jonathan P. Watts | Counselor | 220 Hartford Tpke, Vernon, CT 06066-4701 | 2006-09-21 |
| 1699783043 | Fred C. Fox | Counselor | 1900 Pease St, Suite 310, Vernon, TX 76384-4608 | 2006-08-03 |
| 1821038845 | Sue Ellen Davis | Counselor | 1914 Paradise St, Vernon, TX 76384-8111 | 2006-06-07 |
| 1225642390 | Carol Howell Taylor | Counselor | 1914 Paradise St, Vernon, TX 76384-8111 | 2020-09-04 |
| 1669851788 | Pamela Gail Mcspadden | Counselor | 1914 Paradise St, Vernon, TX 76384-8111 | 2015-05-21 |
| Find all providers in VERNON | ||||
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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.