Active NPI
Susan A Mathews, LPCA
- Professional Counselor
- Waterbury, CT
National Provider Identifier
1174419766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8378
- Practice address
- 678 Chase Pkwy
Waterbury, CT 06708-3050 - Phone
- (203) 757-9357
- NPI assigned
- Jun 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8378 | CT | Primary |
Addresses
Primary practice location
678 Chase Pkwy
Waterbury, CT 06708-3050
Mailing address
578 Wilson St Apt 1
Waterbury, CT 06708-5706
Phone (203) 217-2041
Other practice location 1
578 Wilson St Apt 1
Waterbury, CT 06708-5706
Phone (203) 968-9579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1174419766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 WILSON ST APT 1",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067085706",
"telephone_number": "203-217-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083050",
"telephone_number": "203-757-9357"
}
],
"practiceLocations": [
{
"address_1": "578 Wilson St Apt 1",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067085706",
"country_code": "US",
"telephone_number": "203-968-9579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEWS",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "8378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.