| Katina Tsitaridis, LPC | |
|
230 Frost Rd Unit B, Waterbury, CT 06705-2154 | |
| (203) 819-0789 | |
| Not Available |
| Full Name | Katina Tsitaridis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 230 Frost Rd Unit B, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467070243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1460 (Rhode Island) | Secondary |
| 101YP2500X | Counselor - Professional | 46.004442 (Connecticut) | Primary |
| Entity Name | Optum Behavioral Care Of Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164203238 PECOS PAC ID: 9436502879 Enrollment ID: O20240201001054 |
| Mailing Address | Practice Location Address |
|---|---|
| Katina Tsitaridis, LPC 191 Albany Tpke Ste 3, Canton, CT 06019-2554 Ph: () - | Katina Tsitaridis, LPC 230 Frost Rd Unit B, Waterbury, CT 06705-2154 Ph: (203) 819-0789 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 | |
Ms. Shawnday Becerril, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Crisis Center, Waterbury, CT 06708 Phone: 203-573-6500 | |
Nina Thomas, COUNSELOR-PEDUCATOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 East Main Street, Morris Foundation, Inc, Waterbury, CT 06702 Phone: 203-755-1143 Fax: 203-755-1447 |