Active NPI
Integrative Wellness Counseling, LLC
- Clinical Social Worker
- Unionville, CT
National Provider Identifier
1144744293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Reiser, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryPractitioners & 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.