MRS. JOANNE ETTER LLC
NPI 1467831859
Counselor - Professional in Southington, CT

Active since May 19, 2015PECOS Enrolled
310 CREST RD, SOUTHINGTON, CT 06489(203) 631-5661 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Joanne Etter Llc NPPES

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

MRS. JOANNE ETTER LLC (NPI 1467831859) is an individual professional provider in Southington, Connecticut, licensed in Connecticut (002491) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467831859
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JOANNE ETTERCredential: LLC
Location Address310 CREST RDSouthington, CT 06489-2866
Mailing Address310 Crest RdSouthington, CT 06489-2866 · (203) 631-5661
Sole ProprietorYes
Enumeration DateMay 19, 2015
NPI 1467831859 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 · 002491
310 CREST RD, Southington, CT 06489

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Joanne Etter Llc 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467831859, enumerated as an "individual" on May 19, 2015.

The provider is located at 310 CREST RD SOUTHINGTON, CT 06489 and the phone number is (203) 631-5661.

Counselor with taxonomy code 101YP2500X and a focus in Professional.