Individual provider Active NPI

Christina Lynn Ehrenreich, LCMHC

  • Mental Health Counselor
  • Bristol, CT
National Provider Identifier
1265095749
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134437 Issued in VT
Practice address
71 Vera Rd
Bristol, CT 06010-4857
Phone
(888) 753-3500
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 068.0134437 VT Primary

Addresses

Primary practice location

71 Vera Rd
Bristol, CT 06010-4857

Mailing address

225 N Main St Ste 106
Bristol, CT 06010-4993
Phone (888) 753-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003320 CT Practitioner - Mental Health Counselor 6608216031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leap-Lifelong Empowerment ABA and Psychotherapy LLCGroup PAC ID 3577093012, 10 clinicians

Practice addresses (Care Compare)

10 Stanford Dr
Farmington, CT 06032-2451
Phone (860) 383-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0134437VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leap-Lifelong Empowerment ABA & Psychotherapy LLC Mental Health CurrentSince Jun 14, 2025 Accepting new patients
Wheeler Clinic Inc CurrentSince Apr 1, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Apr 1, 2024 Accepting new patients
Parsons Child and Family Center PastSince Mar 15, 2026 Accepting new patients

Locations

225 N Main St
Ste 106
Bristol, CT 06010
Phone (860) 585-4300

2 Forest Park Dr
Ste 22LM
Farmington, CT 06032
Phone (860) 351-3075

2 Forest Park Dr
Ste 22L
Farmington, CT 06032
Phone (860) 383-7090

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

Interoperability endpoints

  • Direct secure messaging: christina.ehrenreich.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 4

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1265095749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 106",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993",
            "telephone_number": "888-753-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 VERA RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104857",
            "telephone_number": "888-753-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENREICH",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.