Rebecca Colella Demaida, LPCA
Individual provider Active NPI Mental Health Counselor · Wolcott, CT
NPI 1184497273 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1184497273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6906 (CT)
- Practice address
- 1089B Woodtick Rd
Wolcott, CT 06716-2123 - Phone
- (203) 879-9485
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1089 B Woodtick Rd
Wolcott, CT 06716-2123
53 Muir Ave
Bristol, CT 06010-7215
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260330003850 | CT | Practitioner - Mental Health Counselor | 5991280703 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Center of Central CT Inc | Current |
Accepting new patients |
Locations
1089B Woodtick Rd
Wolcott, CT 06716
Phone (203) 879-9485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6906 | CT | Yes |
Addresses
Primary practice location
1089B Woodtick Rd
Wolcott, CT 06716-2123
Mailing address
67 North St
Wolcott, CT 06716-1317
Phone (203) 508-5353
Other providers in Wolcott, CT
- Matthew James Cucolo
- George J Dagostino Jr.
- Linda Dalessio
- David Yurgaitis
- Carlos S Degollado
- Shameka Dennis
- Dental Health Associates P.C.
- Didomizio Health & Rehabilitation
- Paul Michael Didomizio
- Erica Marie Dipietro
All providers in Wolcott, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.