| Coastal Connecticut Counseling Llc | |
|
49 John St Ste 102 Southport CT 06890-1484 | |
| (203) 307-3030 | |
| (203) 255-7486 |
| Full Name | Coastal Connecticut Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 49 John St Ste 102, Southport, Connecticut |
| Authorized Official Name and Position | Alyssa Kolesar (OWNER) |
| Authorized Official Contact | 2033073030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Connecticut Counseling Llc 49 John St Ste 102 Southport CT 06890-1484 Ph: (203) 307-3030 | Coastal Connecticut Counseling Llc 49 John St Ste 102 Southport CT 06890-1484 Ph: (203) 307-3030 |
| NPI Number | 1982076014 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 10/28/2015 |
| Medicare PECOS PAC ID | 8527361161 |
|---|---|
| Medicare Enrollment ID | O20160114002225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982076014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1759 (Connecticut) | Primary |
| Provider Name | Monica Ann Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770868085 PECOS PAC ID: 5698906022 Enrollment ID: I20140815001393 |
| Provider Name | Katie L Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003289224 PECOS PAC ID: 2567749807 Enrollment ID: I20170515001494 |
| Provider Name | Jennifer Ellis Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811426596 PECOS PAC ID: 4284993023 Enrollment ID: I20180124000338 |
| Provider Name | Lauri Levitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679975296 PECOS PAC ID: 4688934763 Enrollment ID: I20180209002013 |
| Provider Name | Jamie A Almodovar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598033045 PECOS PAC ID: 2163859737 Enrollment ID: I20200219002625 |
| Provider Name | John J Gleason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760043590 PECOS PAC ID: 1951738418 Enrollment ID: I20200221000912 |
| 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 | Krista L Amato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518598754 PECOS PAC ID: 2860821493 Enrollment ID: I20200402003154 |
| Provider Name | Ana Cj Messenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013648393 PECOS PAC ID: 9234513094 Enrollment ID: I20220829002790 |
| Provider Name | Emily Faro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780236737 PECOS PAC ID: 1951770296 Enrollment ID: I20221208002598 |
| Provider Name | Amy Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497094866 PECOS PAC ID: 3375861107 Enrollment ID: I20230316000186 |
| Provider Name | Erin Mcvicar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821771452 PECOS PAC ID: 2365896420 Enrollment ID: I20230925000980 |
| Provider Name | Amanda S Riccitelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568179166 PECOS PAC ID: 1456705383 Enrollment ID: I20230927000793 |
| Provider Name | Katharine Smulski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356035562 PECOS PAC ID: 8325495633 Enrollment ID: I20231108001685 |
| Provider Name | Maritza Poindexter-brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831846286 PECOS PAC ID: 1052759958 Enrollment ID: I20240410001889 |
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