THOMAS REILLY LADC LPC NPI 1326316886

NPI Information

NPI: 1326316886
Provider Name: THOMAS REILLY, LADC, LPC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
30 HAZEL TERRACE
SUITE 11
WOODBRIDGE, CT
ZIP 06525
Phone: (203) 819-7650
Get Directions

Thomas Reilly, LADC, LPC is an addiction (substance use disorder) counselor in Woodbridge, CT. Thomas Reilly, LADC, LPC NPI is 1326316886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 HAZEL TERRACE
SUITE 11
WOODBRIDGE, CT
ZIP 06525-209
Phone: (203) 819-7650

The NPI 1326316886 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 4/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	002448	CONNECTICUT	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000951	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	008024427	MEDICAID	CONNECTICUT
2	008023170	MEDICAID	CONNECTICUT
3	008042339	MEDICAID	CONNECTICUT
4	008038188	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »