| Justin Richard Macgregor, LPC | |
|
911-913 State Street, State Street Counseling Services, New Haven, CT 06511-3926 | |
| (203) 503-3660 | |
| (203) 503-3562 |
| Full Name | Justin Richard Macgregor |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 911-913 State Street, New Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962851238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 4276 (Connecticut) | Primary |
| Entity Name | Cornell Scott Hill Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Richard Macgregor, LPC 400 Columbus Avenue, Credentialing Specialist, New Haven, CT 06519-1233 Ph: (203) 503-3000 | Justin Richard Macgregor, LPC 911-913 State Street, State Street Counseling Services, New Haven, CT 06511-3926 Ph: (203) 503-3660 |
Mrs. Agustina Fougere, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 374 Grand Ave, New Haven, CT 06513 Phone: 203-777-7411 | |
Rachel B Kopanski, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3250 Fax: 203-503-3254 | |
Joann Rotar, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Whalley Ave, New Haven, CT 06515 Phone: 203-491-1652 | |
Jessica R Myles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Lombard St, New Haven, CT 06513 Phone: 203-787-2207 | |
Mr. Mark C Vanacore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 871 State St, New Haven, CT 06511 Phone: 203-776-9900 Fax: 203-387-8522 | |
Dr. Rita W. Mccleary, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 258 Bradley St, New Haven, CT 06510 Phone: 203-777-4045 | |
Mr. Pedro Delgado, BS. Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Lexington Ave, 2nd Floor, New Haven, CT 06513 Phone: 203-464-6913 |