THOMAS HENRY IV STEVENS (LADC, LPC-A) – Addiction (Substance Use Disorder) Counselor, NPI 1245373786

THOMAS HENRY IV STEVENS (LADC, LPC-A) is a healthcare provider. based in Middletown, Connecticut. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials LADC, LPC-A. The NPI Number for THOMAS HENRY IV STEVENS (LADC, LPC-A) is 1245373786

Main info

Male
Sole Proprietor
Name
THOMAS HENRY IV STEVENS (LADC, LPC-A)
NPI
1245373786
Phone
(860) 346-0300
Address
1250 SILVER ST
Enumeration Date
15 February 2007
Last Update Date
30 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for THOMAS HENRY IV STEVENS (LADC, LPC-A)

  • 1250 SILVER ST

    MIDDLETOWN, CT 064573946

    Phone: (860) 346-0300

    Type: Mailing

  • 537 PROSPECT ST

    WETHERSFIELD, CT 061093648

    Phone: (860) 519-7802

    Type: Mailing

  • 110 NATIONAL DR

    GLASTONBURY, CT 060334371

    Phone: (860) 657-8910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240315002175IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06457)

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Reviews

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Frequently asked questions

How do payers reference THOMAS HENRY IV STEVENS (LADC, LPC-A)?
For THOMAS HENRY IV STEVENS (LADC, LPC-A), use NPI 1245373786 as the unique 10-digit identifier.
Would THOMAS HENRY IV STEVENS (LADC, LPC-A) appear as active to a payer?
You can treat THOMAS HENRY IV STEVENS (LADC, LPC-A) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe THOMAS HENRY IV STEVENS (LADC, LPC-A)'s focus?
For THOMAS HENRY IV STEVENS (LADC, LPC-A), the primary taxonomy reads as Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where in Connecticut is THOMAS HENRY IV STEVENS (LADC, LPC-A) registered?
Use Middletown, Connecticut as the headline location for THOMAS HENRY IV STEVENS (LADC, LPC-A) here.
Can I trust this NPI listing for THOMAS HENRY IV STEVENS (LADC, LPC-A)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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