Individual provider Active NPI

Yvette Bunting-Watts

  • Professional Counselor
  • Yalesville, CT
National Provider Identifier
1245614478
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
60 Church St Ste 4L
Yalesville, CT 06492-2356
Phone
(203) 678-4946
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional Counselor 101YP2500X CT Primary

Addresses

Primary practice location

60 Church St Ste 4L
Yalesville, CT 06492-2356

Mailing address

60 Church St Ste 4L
Yalesville, CT 06492-2356
Phone (203) 678-4946

Other practice location 1

384 Pratt St Ste 1
Meriden, CT 06450-8627
Phone (203) 927-2554

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpiece Behavioral Services Professional CurrentSince Jan 15, 2023 Accepting new patients

Locations

60 Church St
Ste 4G
Yalesville, CT 06492

60 Church St
Ste 4L
Yalesville, CT 06492
Phone (203) 678-4946

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1245614478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHURCH ST STE 4L",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "064922356",
            "telephone_number": "203-678-4946",
            "fax_number": "203-774-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CHURCH ST STE 4L",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "064922356",
            "telephone_number": "203-678-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 Pratt St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064508627",
            "country_code": "US",
            "telephone_number": "203-927-2554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNTING-WATTS",
        "first_name": "YVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yalesville, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.