INTEGRATED COUNSELING SOLUTIONS, LLC (NPI# 1639685456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639685456 |
| Entity Type | Organization |
| Organization Name | INTEGRATED COUNSELING SOLUTIONS, LLC |
| Practice Address |
363 Main St Ste 512 Middletown CT 06457-3359 |
| Mailing Address |
32 Wood Acres Rd Amston CT 06231-1751 |
| Practice Telephone | 8603738698 |
| Mailing Telephone | 8603738698 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MS. CHARLENE DENISE KEELER (PARTNER) |
| Authorized Official Telephone | 8603738698 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002445 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HUSKY A | 1134555469 | 01 | |
| CT | 1134555469 | 05 | |
| ANTHEM BLUE CROSS BLUE SHIELD | 1134555469 | 01 | |
| OPTIMUM | 1134555469 | 01 | |
| CONNECTICARE | 1134555469 | 01 | |
| AETNA | 1134555469 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | INTEGRATED COUNSELING SOLUTIONS, LLC | 363 Main Street, Suite 512, Middletown, CT 06457 |
| Street Address |
363 MAIN ST STE 512 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1114555851 | Demetrius Valentino Mckay | Counselor | 326 Acasta Dr, Middletown, DE 19709-9800 | 2020-03-30 |
| 1740813047 | Shayne Jervey Ahmad | Counselor | 292 Carter Dr Ste Aandb, Middletown, DE 19709-5846 | 2020-02-15 |
| 1801439427 | Edwin Dejesus | Counselor | 31 Peyton Pl, Middletown, CT 06457-2339 | 2019-10-27 |
| 1457817678 | Nicole Elizabeth Mchugh | Counselor | 360 Main St Ste 2d, Middletown, CT 06457-3375 | 2019-02-12 |
| 1801370978 | Nicole Fodaski | Counselor | 1428 Millbrook Rd, Middletown, CT 06457-5538 | 2018-09-24 |
| 1740789163 | Corinne Ruppert | Counselor | 215 Oberlin Rd, Middletown, PA 17057-1448 | 2018-02-12 |
| 1881102499 | Chelsea Dicicco Counseling Services LLC | Counselor | 360 Main St Ste 2b, Middletown, CT 06457-3375 | 2018-01-17 |
| 1164938593 | Chelsea Rose Dicicco | Counselor | 29 Fairlawn Ave, Middletown, CT 06457-5315 | 2017-12-21 |
| 1871027680 | Marcyanna Carlone | Counselor | 112 Russett Ln, Middletown, CT 06457-5811 | 2017-04-18 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on INTEGRATED COUNSELING SOLUTIONS, LLC.
| 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.