Organization Active NPI

Southington Wellness Group, LLC

  • Professional Counselor
  • Milford, CT
National Provider Identifier
1053244657
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUTHINGTON WELLNESS GROUP, LLC
Practice address
5 Ann St
Milford, CT 06460-5902
Phone
(860) 620-7748
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Kathryn Tansley, LPCNPI 1104253491
Title
Director
Phone
(860) 620-7748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5 Ann St
Milford, CT 06460-5902

Mailing address

5 Ann St
Milford, CT 06460-5902
Phone (860) 620-7748

Other practice location 1

318 N Main St Ste 2
Southington, CT 06489-2555
Phone (860) 620-7748

National Provider Directory

National Provider Directory

Locations

318 N Main St
Ste 2
Southington, CT 06489
Phone (860) 620-7748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1053244657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANN ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605902",
            "telephone_number": "860-620-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ANN ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605902",
            "telephone_number": "860-620-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 N Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064892555",
            "country_code": "US",
            "telephone_number": "860-620-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHINGTON WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "TANSLEY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-620-7748",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.