Individual provider Active NPI

Rosalie Anne Spinella, LADC , CADC

  • Addiction (Substance Use Disorder) Counselor
  • Waterbury, CT
National Provider Identifier
1053996322
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001390 Issued in CT
Practice address
1138 W Main St
Waterbury, CT 06708-2730
Phone
(860) 631-7303
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001390 CT Primary

Addresses

Primary practice location

1138 W Main St
Waterbury, CT 06708-2730

Mailing address

1138 W Main St
Waterbury, CT 06708-2730
Phone (860) 631-7303

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
I20250310001107 CT Practitioner - Mental Health Counselor 8224559083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right to Thrive LLCGroup PAC ID 2860833886, 3 clinicians

Practice addresses (Care Compare)

Meriden, CT 06451
Phone (203) 658-7941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001390CTMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
A Wave of Change Addiction (Substance Use Disorder) CurrentSince Aug 1, 2021 Accepting new patients
Right to Thrive LLC CurrentSince Dec 26, 2024 Accepting new patients
Mindscapes Counseling PLLC Past Accepting new patients

Locations

670 Main St S
Woodbury, CT 06798
Phone (203) 263-3175

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1053996322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082730",
            "telephone_number": "860-631-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082730",
            "telephone_number": "860-631-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINELLA",
        "first_name": "ROSALIE",
        "middle_name": "ANNE",
        "credential": "LADC , CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-06-23",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.