DOREEN ROUSSEAU SMITH (NPI# 1497853261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497853261 |
| Entity Type | Individual |
| Full Name | DOREEN ROUSSEAU SMITH |
| Credential | LPC LIC PROF COUNS |
| Practice Address |
90 N Main St West Hartford CT 06107-1924 |
| Mailing Address |
10 Northfield West Hartford CT 06107-3321 |
| Practice Telephone | 8609837507 |
| Practice Fax Number | 8605610489 |
| Mailing Telephone | 8605610489 |
| Mailing Fax Number | 8605610489 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 000109 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | PROFESSIONAL LICENSE | 000109 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881714319 | Doreen Smith | Internal Medicine | 165 Plank Rd, Coxsackie, NY 12051-2617 | 2007-03-29 |
| 1083976856 | Doreen M Smith | Case Manager/Care Coordinator | 2714 State Highway 29, Johnstown, NY 12095-4041 | 2012-06-08 |
| Street Address |
90 N MAIN ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982976718 | Hopeworks, Inc | Community/Behavioral Health | 90 N Main St, West Hartford, CT 06107-1924 | 2012-02-09 |
| 1629340450 | Colleen Lahart Porth | Social Worker | 90 N Main St, West Hartford, CT 06107-1924 | 2012-02-09 |
| 1710259544 | Cruger Johnson Phillips | Counselor | 90 N Main St, West Hartford, CT 06107-1924 | 2012-02-09 |
| 1093910903 | Lynn Johnson | Counselor | 90 N Main St, West Hartford, CT 06107-1924 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902353055 | Deborah Hester Reik | Counselor | 10 Fox Chase Ln, West Hartford, CT 06107-1125 | 2016-09-07 |
| 1316260946 | Sonia Gaztambide | Counselor | 53 Briarwood Rd, West Hartford, CT 06107-2902 | 2010-03-10 |
| 1386847200 | Ava Kordansky | Counselor | 45 So Main St, Suite 208, West Hartford, CT 06107 | 2007-06-07 |
| 1831301092 | Barbara Ann Pinti | Counselor | 72 Bretton Road, West Hartford, CT 06119-1208 | 2007-05-03 |
| 1760607550 | Jolanta A Waszkiewicz | Counselor | 810 Farmington Ave, Apt. 102, West Hartford, CT 06119-1599 | 2007-04-16 |
| 1184744666 | Julian Norris Hartt Jr. | Counselor | 345 N Main St Ste 102, West Hartford, CT 06117-2508 | 2007-03-30 |
| 1215597901 | Jason Gorski | Counselor | 1100 New Britain Ave Ste 107, West Hartford, CT 06110-2448 | 2019-06-16 |
| 1346722485 | Integrity Counseling and Consultation LLC | Counselor | 45 S Main St Ste 107, West Hartford, CT 06107-2402 | 2018-09-05 |
| 1992158604 | Emily Lane Kelly | Counselor | 1170 New Britain Ave, West Hartford, CT 06110-2410 | 2016-07-18 |
| 1144566597 | Amneris Jenice Torres | Counselor | 1100 New Britain Ave Ste 201, West Hartford, CT 06110-2447 | 2012-12-12 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on DOREEN ROUSSEAU SMITH.
| 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.