MEAGAN MACGREGOR
Complete NPI Record 1477202430
Counselor in Manchester, CT

NPI Status: Active since March 18, 2022

Contact Information

444 CENTER ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 646-3888
Fax: (860) 731-5536

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Complete NPI Dataset

This page represents the complete record for NPI 1477202430. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1477202430
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Entity Type Code: 1
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
The city name in the mailing address of the provider being identified.
Provider First Name: MEAGAN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider First Line Business Mailing Address: 2 WATERSIDE XING STE 401
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address City Name: WINDSOR
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CT
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 060951588
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8607315522
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8607315536
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 444 CENTER ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: MANCHESTER
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CT
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 060403926
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8606463888
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8607315536
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 3/18/2022
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/18/2022
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 101Y00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
The 10-position telephone number of the authorized official.
NPI Certification Date: 3/18/2022