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DR. WARREN CORSON III PH.D.
NPI 1205097243
Counselor - Professional in Bristol, CT

Active since June 23, 2008PECOS Enrolled
53 MUIR AVE, BRISTOL, CT 06010(860) 582-7904(860) 582-4350 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Warren Corson Iii Ph.d. NPPES

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

DR. WARREN CORSON III PH.D. (NPI 1205097243) is an individual professional provider in Bristol, Connecticut, licensed in Connecticut (001465) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205097243
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. WARREN CORSON IIICredential: PH.D.
Location Address53 MUIR AVEBristol, CT 06010-7215
Mailing Address53 Muir AveBristol, CT 06010-7215 · (860) 582-7904 · Fax (860) 582-4350
Phone(860) 582-7904
Fax(860) 582-4350
Sole ProprietorNo
Enumeration DateJune 23, 2008
✔ NPI 1205097243 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 · 001465
53 MUIR AVE, Bristol, CT 06010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Warren Corson Iii Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Warren Corson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Counseling Center Of Central Ct Inc
Same address
Professional
53 MUIR AVE
Bristol, CT 06010
  • Reassigned Medicare billing, Connecticut enrollment
  • 8 clinicians in this Medicare group
NPI 1760541510 (860) 582-7904

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA CORSON LPC
Counselor (Professional)
53 MUIR AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 582-7904
COMMUNITY COUNSELING CENTER OF CENTRAL CT INC
Counselor (Professional)
53 MUIR AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 582-7904
SANDRA JEANNE GODIN LPC
Counselor (Professional)
53 MUIR AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 582-7904

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 Warren Corson's NPI number?

The NPI number for Warren Corson is 1205097243. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Warren Corson located?

Warren Corson practices at 53 Muir Ave, Bristol, CT 06010. The listed phone number is (860) 582-7904.

What is Warren Corson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Warren Corson enrolled in Medicare?

Yes. Warren Corson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Warren Corson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Warren Corson reassigns Medicare benefits to Community Counseling Center Of Central Ct Inc (Bristol, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Warren Corson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Warren Corson was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.