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ALLYSON LEIGH LICESE
NPI 1033686514
Counselor in Middletown, CT

Active since November 01, 2018
28 RUSSETT LN, MIDDLETOWN, CT 06457(203) 206-3538 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2020, Nov 1, 2018 (2 updates tracked since 2018).

About Allyson Leigh Licese NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLYSON LEIGH LICESE (NPI 1033686514) is an individual counselor in Middletown, Connecticut, licensed in Connecticut (4557) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1033686514
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameALLYSON LEIGH LICESE
Location Address28 RUSSETT LNMiddletown, CT 06457-5803
Mailing Address21 Meeker RdSouthington, CT 06489-2234 · (203) 206-3538
Phone(203) 206-3538
Sole ProprietorYes
Enumeration DateNovember 1, 2018
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1033686514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CT · 4557
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
28 RUSSETT LN, Middletown, CT 06457
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allyson Licese's NPI number?

The NPI number for Allyson Licese is 1033686514. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Allyson Licese located?

Allyson Licese practices at 28 Russett Ln, Middletown, CT 06457. The listed phone number is (203) 206-3538.

What is Allyson Licese's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Allyson Licese was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.