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MS. MARY ANNE LISA COSTERELLA M.A., LADC
NPI 1326212143
Counselor - Addiction (Substance Use Disorder) in Glastonbury, CT

Active since April 14, 2008PECOS Enrolled
110 NATIONAL DR, GLASTONBURY, CT 06033(860) 657-8910 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Mary Anne Lisa Costerella M.a., Ladc NPPES

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

MS. MARY ANNE LISA COSTERELLA M.A., LADC (NPI 1326212143) is an individual addiction (substance use disorder) provider in Glastonbury, Connecticut, licensed in Connecticut (#000527) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326212143
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARY ANNE LISA COSTERELLACredential: M.A., LADC
Location Address110 NATIONAL DRGlastonbury, CT 06033-4371
Mailing Address110 National DrGlastonbury, CT 06033-4371 · (860) 657-8910
Phone(860) 657-8910
Sole ProprietorYes
Enumeration DateApril 14, 2008
Last NPPES UpdateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1326212143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · #000527
110 NATIONAL DR, Glastonbury, CT 06033
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Anne Lisa Costerella M.a., Ladc 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 Mary Anne Costerella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rushford Center, Inc.
18 mi
Psychologist
883 PADDOCK AVENUE
Meriden, CT 06450
  • Reassigned Medicare billing, Connecticut enrollment
  • 106 clinicians in this Medicare group
NPI 1275541005 (203) 630-5220

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 11

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

BONNIE LILLIS BA
Counselor
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 430-5515
LAURA CHRISTINE ZEPPIERI MS, LADC, CAC
Counselor (Addiction (Substance Use Disorder))
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8910
MR. MARK STEPHEN BURKES MFT
Marriage & Family Therapist
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8910
THOMAS HENRY STEVENS IV LADC, LPC-A
Counselor (Addiction (Substance Use Disorder))
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8910
NEW ENGLAND CENTER FOR C.B.T. & PSYCHIATRY
Clinic/Center (Mental Health (Including Community Mental Health Center))
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 430-5515
NICOLE RAFALA
Social Worker (Clinical)
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8910
SYDNEY ANIA SECOR
Marriage & Family Therapist
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8910
LAURE LOUIS-CHARLES APRN
Nurse Practitioner (Psychiatric/Mental Health)
110 NATIONAL DR
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8910

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 Mary Anne Costerella's NPI number?

The NPI number for Mary Anne Costerella is 1326212143. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Mary Anne Costerella located?

Mary Anne Costerella practices at 110 National Dr, Glastonbury, CT 06033. The listed phone number is (860) 657-8910.

What is Mary Anne Costerella's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Mary Anne Costerella enrolled in Medicare?

Yes. Mary Anne Costerella is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Anne Costerella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Anne Costerella reassigns Medicare benefits to Rushford Center, Inc. (Meriden, 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 Mary Anne Costerella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Anne Costerella accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Anne Costerella as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Anne Costerella was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.