Active NPI
Self Reflections LLC
- Clinical Social Worker
- Windsor, CT
National Provider Identifier
1225758626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SELF REFLECTIONS LLC
- Practice address
- 600 W Wolcott Ave
Windsor, CT 06095-4351 - Phone
- (860) 794-0652
- NPI assigned
- Aug 29, 2022
- 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
- Valerie Barrett-Noel
- Title
- Ceo/ Clinician
- Phone
- (860) 794-0652
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 | Primary |
Addresses
Primary practice location
600 W Wolcott Ave
Windsor, CT 06095-4351
Mailing address
600 W Wolcott Ave
Windsor, CT 06095-4351
Phone (860) 794-0652
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.selfreflectionstherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
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.
-
- Mental Health Counselor
- Windsor, CT
- NPI 1073106530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673308800000",
"number": "1225758626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W WOLCOTT AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060954351",
"telephone_number": "860-794-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W WOLCOTT AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060954351",
"telephone_number": "860-794-0652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELF REFLECTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-29",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A",
"authorized_official_last_name": "BARRETT-NOEL",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "CEO/ CLINICIAN",
"authorized_official_telephone_number": "860-794-0652"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.selfreflectionstherapy.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "600 W Wolcott Ave",
"city": "Windsor",
"state": "CT",
"country_code": "US",
"postal_code": "060954351",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.