ANDRE SPENCE (NPI# 1528557709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528557709 |
| Entity Type | Individual |
| Full Name | ANDRE SPENCE |
| Credential | MFT |
| Practice Address |
66 Orchard St Vernon CT 06066 |
| Mailing Address |
1007 Farmington Ave Ste 13 West Hartford CT 06107-2107 |
| Practice Telephone | 8605089565 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2020-04-11 |
| NPI Deactivation Date | 02/25/2020 |
| NPI Reactivation Date | 2020-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861621153 | Andre Spence | Internal Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2009-07-08 |
| Street Address |
66 ORCHARD ST |
| City | VERNON |
| State | CT |
| Zip Code | 06066 |
| 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 |
| 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 |
| 1255728770 | Ibeam Medical Connecticut, LLC | Durable Medical Equipment & Medical Supplies | 35-31 Talcott Road, Suite 291, Vernon, CT 06066 | 2015-04-22 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215477310 | Kimberly Kunz | Counselor | 32 Hartl Dr, Vernon, CT 06066-5219 | 2017-03-08 |
| 1295128924 | Heather Lindsay Wheeler | Counselor | 88 West St Apt 3f, Vernon, CT 06066-2933 | 2015-03-04 |
| 1720572381 | Amy Destro | Counselor | 27 Naek Rd Ste 4, Vernon, CT 06066-3965 | 2018-06-18 |
| 1063823839 | Theresa Ouellette | Counselor | 27 Naek Rd Ste 4, Vernon, CT 06066-3965 | 2014-05-15 |
| 1174898803 | Living Better Institute, Inc. | Counselor | 529 Route 515, Suite 203a, Vernon, NJ 07462-3166 | 2012-03-13 |
| 1194973610 | Brianna Gurn | Counselor | 155 W Main St, Apt 309, Vernon, CT 06066-3541 | 2008-09-09 |
| 1003080508 | Marisa Mcnamara Byers | Counselor | 1900 Pease St, Suite #202, Vernon, TX 76384-4608 | 2008-04-15 |
| 1215050141 | Dana Decillis | Counselor | 27 Naek Road, Vernon, CT 06066 | 2007-04-07 |
| 1396870473 | Ellen C Golden | Counselor | 27 Hartford Tpke, Suite 204, Vernon, CT 06066-5245 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1003422114 | Infinite Potential Counseling, Inc | Counselor | 2 Pons Rd, Mystic, CT 06355-1103 | 2020-09-23 |
| 1891307682 | Sara Eve Jamison | Counselor | 129 Fieldstone Rd, Stamford, CT 06902-2581 | 2020-08-21 |
| 1023620184 | Christine Adams Osborn | Counselor | 32 Delafield Island Rd, Darien, CT 06820-6010 | 2020-08-20 |
| 1437760071 | Danielle Gofman | Counselor | 2675 Park Ave Unit 29, Bridgeport, CT 06604-1356 | 2020-08-16 |
| 1285243238 | A New Perspective Counseling Services LLC | Counselor | 37 Jenny Ln, Wolcott, CT 06716-1634 | 2020-07-27 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1952910192 | Tyrek J Pratt | Counselor | 41b New London Tpke Lowr Level, Glastonbury, CT 06033-4240 | 2020-07-23 |
| 1326656752 | Resilient Self Counseling Pllc | Counselor | 12 Pine Glen Rd, Simsbury, CT 06070-2714 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANDRE SPENCE.
| 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.