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 | 101YP2500X | Counselor | Professional | 002524 | 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 | PENDING | OTHER | CONNECTICUT | OPTUM BEHAVIORAL HEALTH OXFORD FREEDOM/LIBERTY AWAKEN THE POWER THERAPY |
| 2 | PENDING | OTHER | CONNECTICUT | HEALTHYCT AWAKEN THE POWER THERAPY |
| 3 | NOT ELIGIBLE | MEDICARE PIN | CONNECTICUT | |
| 4 | PENDING | OTHER | CONNECTICUT | OPTUM BEHAVIORAL HEALTH-CONNECTICARE AWAKEN THE POWER THERAPY |
| 5 | 4903859 PENDING | OTHER | CONNECTICUT | CIGNA BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY |
| 6 | PENDING | OTHER | CONNECTICUT | BEACON HEALTH STRATEGIES-VO AWAKEN THE POWER THERAPY, LLC |
| 7 | 12696221 | OTHER | CONNECTICUT | CAQH |
| 8 | 472092928 | OTHER | CONNECTICUT | THREE RIVERS AWAKEN THE POWER THERAPY |
| 9 | PENDING | OTHER | CONNECTICUT | FEI BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY |
| 10 | PENDING | OTHER | CONNECTICUT | MULTIPLAN AWAKEN THE POWER THERAPY |
| 11 | PENDING | OTHER | CONNECTICUT | ANTHEM BCBS OF CT AWAKEN THE POWER THERAPY, LLC |
| 12 | PENDING | OTHER | CONNECTICUT | OPTUM BEHAVIORAL HEALTH- UNITED HEALTHCARE AWAKEN THE POWER THERAPY |
| 13 | PENDING | OTHER | CONNECTICUT | OPTUM BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY |
| 14 | 008050783 | MEDICAID | CONNECTICUT | |
