| Lisa Marie Nelson, LPC | |
|
201 N Mountain Rd, Plainville, CT 06062-1848 | |
| (860) 827-4199 | |
| (860) 225-2647 |
| Full Name | Lisa Marie Nelson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 201 N Mountain Rd, Plainville, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063880581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 002578 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1555 |
| Entity Name | Bristol Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619901642 PECOS PAC ID: 9739084096 Enrollment ID: O20040426001533 |
| Entity Name | Hartford Healthcare Medical Group Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Entity Name | Thrive Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200330002193 |
| 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 |
|---|---|
| Lisa Marie Nelson, LPC 1290 Silas Deane Hwy, Hhc Cvo, Wethersfield, CT 06109-4337 Ph: (860) 972-5507 | Lisa Marie Nelson, LPC 201 N Mountain Rd, Plainville, CT 06062-1848 Ph: (860) 827-4199 |
Jonathan Codraro, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-466-9646 |
Olivia Anne Ayers, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3060 Fax: 860-793-3060 |
Mr. Lewis Alan Slotnick, M.S. LADC ICAADC SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 E Main St, Plainville, CT 06062 Phone: 860-324-6506 Fax: 860-675-6124 |
Ciyauah Lashawn Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-793-4200 |
Julia Zarovny, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |
Mr. Viktor A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |
Stacey Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-223-8885 |