Active NPIIndividual providerSole proprietor

Richard Hisman

Counselor, Professional in Killingly, Connecticut

NPI Number1053768713
Practice location
535 Main St Ste 1, Killingly, CT 06239-2169
Fax
860-779-6295
Last updated
June 22, 2021

Richard Hisman is a Counselor, Professional based in Killingly, CT. Richard Hisman practices in Killingly, CT. The NPI Number for Richard Hisman is 1053768713 and holds a License No. 003369 (CT). The current practice location address for Richard Hisman is 535 Main St Ste 1, Killingly, CT 06239-2169 and can be reached out via phone at 860-774-6295 and via fax at 860-779-6295.

Provider Profile Details

NPI Number
1053768713
Provider Name
Richard Hisman
Provider Entity Type
Individual
Gender
Male
Address
535 Main St Ste 1, Killingly, CT 06239-2169
Phone Number
860-774-6295
Fax Number
860-779-6295
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2016
Last Update Date
June 22, 2021
Certification Date
June 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Main St Ste 1
Killingly, CT 06239-2169
Zip
06239-2169
Phone Number
860-774-6295
Fax Number
860-779-6295
Killingly, CT 06239Get directions →

Provider Business Mailing Address Details

Address
535 Main St Ste 1
Killingly, CT 06239-2169
City
Killingly
State
CT
Zip
06239-2169
Phone Number
860-774-6295
Fax Number
860-774-6295

License Information

Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
003369
License State (2)
CT
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richard Hisman?

The NPI number of Richard Hisman is 1053768713. It was assigned on May 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Richard Hisman?

Richard Hisman is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 003369.

Where does Richard Hisman practice?

The practice location is 535 Main St Ste 1, Killingly, CT 06239-2169. The office can be reached at 860-774-6295 (phone) or 860-779-6295 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053768713 directly on the NPPES registry website.

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