| Behavioral Health Center For Counseling & Learning, Llc | |
|
984 Southford Rd Middlebury CT 06762-3234 | |
| (203) 758-2400 | |
| (203) 758-2415 |
| Full Name | Behavioral Health Center For Counseling & Learning, Llc |
|---|---|
| Speciality | Counselor |
| Location | 984 Southford Rd, Middlebury, Connecticut |
| Authorized Official Name and Position | Noel Federle (CO-OWNER) |
| Authorized Official Contact | 2037582400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Center For Counseling & Learning, Llc 984 Southford Rd Middlebury CT 06762-3234 Ph: (203) 758-2400 | Behavioral Health Center For Counseling & Learning, Llc 984 Southford Rd Middlebury CT 06762-3234 Ph: (203) 758-2400 |
| NPI Number | 1578788766 |
|---|---|
| Provider Enumeration Date | 04/15/2007 |
| Last Update Date | 08/16/2007 |
| Medicare PECOS PAC ID | 8729313135 |
|---|---|
| Medicare Enrollment ID | O20190708001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578788766 | NPI | - | NPPES |
| Provider Name | Nanci E Kaczegowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487657276 PECOS PAC ID: 0749273985 Enrollment ID: I20040405001253 |
| Provider Name | Laura E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518911387 PECOS PAC ID: 3971574039 Enrollment ID: I20040803000459 |
| Provider Name | Deborah L. Mazza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750488524 PECOS PAC ID: 6608835780 Enrollment ID: I20041005000615 |
| Provider Name | Michelle L Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184775769 PECOS PAC ID: 8729080965 Enrollment ID: I20070201000109 |
| Provider Name | Heather C Gatesman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093737249 PECOS PAC ID: 2961571799 Enrollment ID: I20080520000682 |
| Provider Name | John Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023256930 PECOS PAC ID: 7416986781 Enrollment ID: I20090622000411 |
| Provider Name | Susan Ericson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700112174 PECOS PAC ID: 2365589884 Enrollment ID: I20091102000178 |
| Provider Name | Debra A Hudobenko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679746440 PECOS PAC ID: 9931241320 Enrollment ID: I20100122000673 |
| Provider Name | Deborah S Guidetti Gerwien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821420563 PECOS PAC ID: 3173751492 Enrollment ID: I20140114000317 |
| Provider Name | John T Dukes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861699068 PECOS PAC ID: 4183840689 Enrollment ID: I20140718000199 |
| Provider Name | Stacy Martwinski Nardozzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831470210 PECOS PAC ID: 0547585614 Enrollment ID: I20150212000304 |
| Provider Name | Brooke M Sarno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215328372 PECOS PAC ID: 6608188891 Enrollment ID: I20150630002570 |
| Provider Name | Heather M Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346785086 PECOS PAC ID: 3678856796 Enrollment ID: I20170215000102 |
| Provider Name | Caitlin Mcavoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740686724 PECOS PAC ID: 9032473426 Enrollment ID: I20180511000840 |
| Provider Name | Lynne D Severance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871082032 PECOS PAC ID: 4284983891 Enrollment ID: I20180815001025 |
| Provider Name | Christina Marie Giacobbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942517081 PECOS PAC ID: 5799038444 Enrollment ID: I20181025001462 |
| Provider Name | Olanike Oyeyemi Idowu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356818421 PECOS PAC ID: 9638413750 Enrollment ID: I20181130000757 |
| Provider Name | Ashley K Kiefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841646239 PECOS PAC ID: 0244565653 Enrollment ID: I20190708001710 |
| Provider Name | Erika L Szarzynski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386050656 PECOS PAC ID: 6103151527 Enrollment ID: I20190708001967 |
| Provider Name | Alexis Marie Larowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801324678 PECOS PAC ID: 2264861152 Enrollment ID: I20200327001075 |
| Provider Name | Ann Margaret Sandercox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891328225 PECOS PAC ID: 1951730845 Enrollment ID: I20200327001309 |
| Provider Name | Alison Glass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730715004 PECOS PAC ID: 9133534381 Enrollment ID: I20210219002251 |
| Provider Name | Camille Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619640182 PECOS PAC ID: 2769886126 Enrollment ID: I20210806000735 |
| Provider Name | Estephany Valerio- Negron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881025435 PECOS PAC ID: 7719264399 Enrollment ID: I20211221002432 |
| Provider Name | Rebecca Rotondo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003358326 PECOS PAC ID: 3971996349 Enrollment ID: I20220207001903 |
| Provider Name | Christine Zangrillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053053710 PECOS PAC ID: 4082001565 Enrollment ID: I20220502001757 |
| Provider Name | Liam Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598401176 PECOS PAC ID: 2567840937 Enrollment ID: I20220526001475 |
| Provider Name | Shenel Marcellus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932765716 PECOS PAC ID: 9638550148 Enrollment ID: I20220714003147 |
| Provider Name | Stephanie Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194206904 PECOS PAC ID: 9032580980 Enrollment ID: I20230201000195 |
| Provider Name | Ruth S Theaman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134858806 PECOS PAC ID: 9638542640 Enrollment ID: I20230222000654 |
| Provider Name | Judith Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679848469 PECOS PAC ID: 0244521235 Enrollment ID: I20230322000082 |
| Provider Name | Jessica Halmeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043966617 PECOS PAC ID: 1355715855 Enrollment ID: I20230324000340 |
| Provider Name | Ramon Nieves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700285319 PECOS PAC ID: 5395119804 Enrollment ID: I20230324000726 |
| Provider Name | James Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316557689 PECOS PAC ID: 9436513454 Enrollment ID: I20230910000069 |
| Provider Name | Bruce S Nyfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134259716 PECOS PAC ID: 0042269532 Enrollment ID: I20230914001002 |
| Provider Name | Jacqueline Guiliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174154314 PECOS PAC ID: 5698120558 Enrollment ID: I20231012000982 |
| Provider Name | Kristen Wiltshire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982858155 PECOS PAC ID: 6406204379 Enrollment ID: I20231204000438 |
| Provider Name | Noel Federle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215941364 PECOS PAC ID: 1456686864 Enrollment ID: I20240103002653 |
| Provider Name | Michael Gentil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891414058 PECOS PAC ID: 5193177137 Enrollment ID: I20240116001622 |
| Provider Name | Susan Hayward |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770681678 PECOS PAC ID: 7012360258 Enrollment ID: I20240124002408 |
| Provider Name | Christine Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366995904 PECOS PAC ID: 2860845922 Enrollment ID: I20240125001852 |
| Provider Name | Alanna Mouta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346871720 PECOS PAC ID: 6103279278 Enrollment ID: I20240125002325 |
| Provider Name | Sara Elkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487302832 PECOS PAC ID: 2163875139 Enrollment ID: I20240125002487 |
| Provider Name | Christine Florio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376725481 PECOS PAC ID: 6507219581 Enrollment ID: I20240125002975 |
| Provider Name | Christine Pond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326517087 PECOS PAC ID: 0749633725 Enrollment ID: I20240125003095 |
| Provider Name | Amber Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275745804 PECOS PAC ID: 8426401431 Enrollment ID: I20240125004054 |
| Provider Name | Lisa Conley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861198715 PECOS PAC ID: 5597118406 Enrollment ID: I20240126003402 |
| Provider Name | T Lynn Krawczyk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770608010 PECOS PAC ID: 7618320011 Enrollment ID: I20240201002950 |
| Provider Name | Cynthia Lipeika |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073637047 PECOS PAC ID: 1658714183 Enrollment ID: I20240212002083 |
| Provider Name | David Suscovich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467476192 PECOS PAC ID: 0547595951 Enrollment ID: I20240215002775 |
| Provider Name | Nathalie Solius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124799234 PECOS PAC ID: 4789037821 Enrollment ID: I20240304001263 |
| Provider Name | Danielle Estrella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245722453 PECOS PAC ID: 0042663106 Enrollment ID: I20240304001328 |
| Provider Name | Francisca Ervin-campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477519841 PECOS PAC ID: 5597118752 Enrollment ID: I20240305000841 |
| Provider Name | Eric M Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932668589 PECOS PAC ID: 1456712819 Enrollment ID: I20240329000130 |
| Provider Name | Brittany Kuhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144657529 PECOS PAC ID: 7810335676 Enrollment ID: I20240329002099 |
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