THERESA NICHOLSON LADC
NPI 1376043471
Counselor in Hartford, CT

NPI Status: Active since February 15, 2018

Contact Information

660 PROSPECT AVE 3RD FL
HARTFORD, CT
ZIP 06105
Phone: (860) 337-7178
Fax: (203) 439-2087

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  • Individual
  • Female
  • Counselor

About THERESA NICHOLSON

This page provides the complete NPI Profile along with additional information for Theresa Nicholson, a provider established in Hartford, Connecticut with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1376043471 assigned on February 2018. The practitioner's primary taxonomy code is 101Y00000X with license number 000235 (CT). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1376043471
Provider Name
THERESA NICHOLSON LADC
Gender
Female
Entity Type
Individual
Location Address
660 PROSPECT AVE 3RD FL HARTFORD, CT 06105
Location Phone
(860) 337-7178
Location Fax
(203) 439-2087
Mailing Address
660 PROSPECT AVE STE 3 HARTFORD, CT 06105
Mailing Phone
(860) 337-7178
Mailing Fax
(203) 439-2087
Is Sole Proprietor?
No
Enumeration Date
02-15-2018
Last Update Date
02-15-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
000235
License State
CT
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
815373713MEDICAID (05)CT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376043471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146046414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 0 + 4 + 6 + 4 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1376043471 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376043471, enumerated in the NPI registry as an "individual" on February 15, 2018

The provider is located at 660 Prospect Ave 3rd Fl Hartford, Ct 06105 and the phone number is (860) 337-7178

The provider's speciality is Counselor with taxonomy code 101Y00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 15, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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