Organization Active NPI

Integrative Wellness Counseling, LLC

  • Clinical Social Worker
  • Unionville, CT
National Provider Identifier
1144744293
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9151 Issued in CT
Legal business name
INTEGRATIVE WELLNESS COUNSELING, LLC
Practice address
1686 Farmington Ave Ste 201
Unionville, CT 06085-1279
Phone
(631) 680-0681
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Nicole Reiser, LCSWNPI 1679870596
Title
Clinician
Phone
(631) 680-0681

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 9151 CT Primary

Addresses

Primary practice location

1686 Farmington Ave Ste 201
Unionville, CT 06085-1279

Mailing address

1121 Windsor Ave
Windsor, CT 06095-3413
Phone (631) 680-0681

Other practice location 1

553 Portland Cobalt Rd
Portland, CT 06480-1968
Phone (631) 680-0681

National Provider Directory

National Provider Directory

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": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1144744293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WINDSOR AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953413",
            "telephone_number": "631-680-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 FARMINGTON AVE STE 201",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851279",
            "telephone_number": "631-680-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "553 Portland Cobalt Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "CT",
            "postal_code": "064801968",
            "country_code": "US",
            "telephone_number": "631-680-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "REISER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "631-680-0681",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.