Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MS. ELAINE A POULOS LPC
NPI 1124000690
Counselor - Professional in Waterbury, CT
Active since November 18, 2005
64 ROBBINS ST, CRISIS INTERVENTION CENTER, WATERBURY, CT 06708(203) 573-6500(203) 573-6792 Get Directions Write a Review
About Ms. Elaine A Poulos Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ELAINE A POULOS LPC (NPI 1124000690) is an individual professional provider in Waterbury, Connecticut, licensed in Connecticut (000721) and active in the NPI registry since November 2005.
NPPES Registry Identity
NPI1124000690
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ELAINE A POULOSCredential: LPC
Location Address64 ROBBINS ST, CRISIS INTERVENTION CENTERWaterbury, CT 06708-2613
Mailing Address22 Burnham StPlainville, CT 06062-1702 · (860) 747-2997
Phone(203) 573-6500
Fax(203) 573-6792
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1124000690 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 000721
64 ROBBINS ST, Waterbury, CT 06708
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
64 ROBBINS ST, CRISIS INTERVENTION CENTER
WATERBURY, CT 06708
WATERBURY, CT 06708
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124000690, enumerated as an "individual" on November 18, 2005.
The provider is located at 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 and the phone number is (203) 573-6500.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
