Individual provider Active NPI

Audrey Krawiec, MS

  • Addiction (Substance Use Disorder) Counselor
  • Bristol, CT
National Provider Identifier
1013682079
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1098 Farmington Ave
Bristol, CT 06010-4705
Phone
(860) 589-6433
Fax
(860) 589-6442
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1098 Farmington Ave
Bristol, CT 06010-4705

Mailing address

1436 Stafford Ave
Bristol, CT 06010-2542
Phone (860) 416-8205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003925 CT Practitioner - Mental Health Counselor 8628412160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reflections Counseling and Consulting Services LLCGroup PAC ID 9335587187, 4 clinicians

Practice addresses (Care Compare)

1177 Silas Deane Hwy
Suite 3
Wethersfield, CT 06109-4332
Phone (860) 837-0401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling and Consulting Services LLC Addiction (Substance Use Disorder) CurrentSince Feb 25, 2024 Accepting new patients
Hartford Dispensary PastSince Aug 15, 2021 Accepting new patients

Locations

1177 Silas Deane Hwy
Ste 3
Wethersfield, CT 06109
Phone (860) 805-7904

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1013682079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 STAFFORD AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102542",
            "telephone_number": "860-416-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104705",
            "telephone_number": "860-589-6433",
            "fax_number": "860-589-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWIEC",
        "first_name": "AUDREY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.