MR. CHRISTOPHER J LEARY LADC NPI 1215107099

NPI Information

NPI: 1215107099
Provider Name: MR. CHRISTOPHER J LEARY, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
113 ELM ST STE 204
ENFIELD, CT
ZIP 06082
Phone: (860) 741-3001
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MR. Christopher J Leary, LADC is an addiction (substance use disorder) counselor in Enfield, CT. MR. Christopher J Leary, LADC NPI is 1215107099. 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:

113 ELM ST STE 204
ENFIELD, CT
ZIP 06082-739
Phone: (860) 741-3001
Fax: (860) 741-8332

The enumeration date for this NPI number is 3/7/2008 and was last updated on 3/7/2008.

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	000061	CONNECTICUT	No
2	101YM0800X	Counselor	Mental Health	3665	MASSACHUSETTS	No
3	101YP2500X	Counselor	Professional	000061	CONNECTICUT	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000476	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	Other Provider Identifier Issuer
1	300000476CT01	OTHER	CONNECTICUT	ANTHEM BC/BS
2	CTGA000477-B001475	OTHER	CONNECTICUT	STATE ADMINISTER ASST.
3	321137	OTHER	CONNECTICUT	VALUE OPTIONS
4	A412956	OTHER	CONNECTICUT	OXFORD INSURANCE
5	301508	OTHER	CONNECTICUT	MANAGED HEALTH NETWORK

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: 11/14/2023

NPI Synchronization or Removal

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