MAN-UP COUNSELING AND MENTORING (NPI# 1932743879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932743879 |
| Entity Type | Organization |
| Organization Name | MAN-UP COUNSELING AND MENTORING |
| Practice Address |
1260 E Main St Meriden CT 06450-4806 |
| Mailing Address |
31 Peyton Place Middletown CT 06457 |
| Practice Telephone | 8608884590 |
| Mailing Telephone | 8607163081 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | MR. EDWIN DEJESUS (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 8607163081 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Man-Up Counseling and Mentoring Centers, LLC | Other Name - Individual/Organization |
| Street Address |
1260 E MAIN ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609831577 | Michelle L Thibeault | Physical Therapist | 1260 E Main St, Meriden, CT 06450-4806 | 2006-04-20 |
| 1326425133 | Laura K Shaban | Physical Therapist | 1260 E Main St, Meriden, CT 06450-4806 | 2015-04-30 |
| 1972902799 | Jackie Balzer | Physical Therapist | 1260 E Main St, Meriden, CT 06450-4806 | 2014-08-18 |
| 1801018882 | Diversified Physical Therapy, LLC | Clinic/Center | 1260 E Main St, Meriden, CT 06450-4806 | 2007-05-02 |
| 1518984723 | Lois Mccutcheon | Physical Therapist | 1260 E Main St, Meriden, CT 06450-4806 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
| 1235639444 | Sursatie Devi Chetram-frazier | Counselor | 95 E Main St Ste B10, Meriden, CT 06450-5652 | 2018-02-14 |
| 1407369564 | Jami Kirkbride | Counselor | 3204 Road 139, Meriden, WY 82081 | 2017-11-13 |
| 1689921223 | Karen Armstrong | Counselor | 7 Country Club Rd, Meriden, CT 06450-2520 | 2012-08-14 |
| 1487952537 | Kate E Maldonado | Counselor | 1347 E Main St, Meriden, CT 06450-4854 | 2011-03-13 |
| 1992941660 | Charles David Kaplan | Counselor | 162 Thorpe Ave, Meriden, CT 06450-4842 | 2008-12-30 |
| 1801442538 | Nicole Lapointe Celone | Counselor | 384 Pratt St, Meriden, CT 06450-8627 | 2019-08-19 |
| 1093217259 | Noemi Rivera | Counselor | 1 Colony St, Meriden, CT 06451-3210 | 2018-03-05 |
| 1235584095 | Latasha Gardner | Counselor | 816 Broad St, Suite 23, Meriden, CT 06450-4350 | 2016-04-29 |
| 1932502101 | Leigh Forte | Counselor | 134 State St, Meriden, CT 06450-3293 | 2014-10-02 |
| Find all providers in MERIDEN | ||||
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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.