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Deactivated NPI 1326258971 Deactivated / Inactive NPI Male Practitioner

Richard Prentice

Counselor • Bridgeport, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Richard Prentice has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2007
NPI Deactivation Date May 03, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Richard Prentice was a registered Counselor practicing in Bridgeport, CT. Throughout an active medical career spanning 16 years, Richard Prentice provided care at the practice location at 1046 FAIRFIELD AVE until profile deactivation on 2023-05-03.

Practice Location & Contact Primary Location

Practice Address

1046 Fairfield Ave

Bridgeport, CT 066051116

Telephone 2033306054
Fax 2033314716
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bridgeport, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Bridgeport, CT (1438 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License CT 23040003590007

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Kathleen Manalis

Counselor - Addiction (Substance Use Disorder)

NPI 1033382353
Patricia Kolbusz

Social Worker

NPI 1033937305
Megan Bourguillon

Counselor - Mental Health

NPI 1104055474
NPI 1104286806
Maurice Cox , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1114174844

Certified Alcohol and Drug Counselor

Nicole Altbaum-Nash

Social Worker - Clinical

NPI 1124238894

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1046 FAIRFIELD AVE, BRIDGEPORT, CT 066051116 (Tel: 2033306054)

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Updated Business Mailing Address July 08, 2007

Registered at 1046 FAIRFIELD AVE, BRIDGEPORT, CT 066051116 (Tel: 2033306054)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD PRENTICE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #23040003590007 in CT)

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Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326258971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 08, 2007
Deactivation Date: May 03, 2023

Mailing Address

1046 Fairfield Ave

Bridgeport, CT 066051116

Phone: 2033306054

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.