Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1700935574
Addiction (Substance Use Disorder) Counselor
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1680 ALBANY AVE
HARTFORD, CT 061051001
Phone: (860) 882-6408
Fax: (860) 882-6450
Type: Mailing
East Hartford, Hartford County, Connecticut, United States
EAST HARTFORD, CT 061087303
Phone: (413) 732-2120
Fax: (413) 732-2125
Type: Mailing
85, Saint George Road, North End, Memorial Square, Springfield, Hampden County, Massachusetts, 01107, United States
SPRINGFIELD, MA 011043333
Phone: (413) 732-2120
Fax: (413) 732-2125
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 21 | 21 | $0 |
Insurance plans in this area (ZIP 06105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Clinical Social Worker | CT | |
| Mental Health Counselor | CT | |
| Mental Health Counselor | NY | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| P S Y C H I A T R Y | CT |
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