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Active NPI 1033686514 Individual Practitioner Female Practitioner

Allyson Leigh Licese

Counselor • Middletown, CT

Professional Overview & Biography Verified Profile Summary

Allyson Licese is a registered healthcare professional specializing in Counselor in Middletown, CT. Practice services are available at 28 RUSSETT LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

28 Russett Ln

Middletown, CT 064575803

Telephone 2032063538

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Middletown, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Middletown, CT (1438 Statewide)

Telehealth Adoption Rate
3.3% 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

CMS Verified: 2020-10-26
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License CT 4557

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address October 26, 2020

Registered at 21 MEEKER RD, SOUTHINGTON, CT 064892234 (Tel: 2032063538)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Counselor (License #4557 in CT)

NPI Profile Active November 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2018

Registered at 28 RUSSETT LN, MIDDLETOWN, CT 064575803 (Tel: 2032063538)

📍
Updated Business Mailing Address November 01, 2018

Registered at 28 RUSSETT LN, MIDDLETOWN, CT 064575803 (Tel: 2032063538)

👤
Provider Name / Credentials Updated November 01, 2018

Recorded as ALLYSON LICESE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2018

Counselor

🟢
Initial NPI Registration & Enumeration November 01, 2018

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: 1033686514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2018
Last Update: October 26, 2020
Sole Proprietor: Yes

Mailing Address

21 Meeker Rd

Southington, CT 064892234

Phone: 2032063538

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.