Individual provider Active NPI

Mandy Hayes Riordan, LPC

  • Professional Counselor
  • New Fairfield, CT
National Provider Identifier
1275048266
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3336 Issued in CT
Practice address
38 Sunset TRL
New Fairfield, CT 06812-3532
Phone
(203) 241-8129
NPI assigned
Dec 12, 2017
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3336 CT Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

38 Sunset TRL
New Fairfield, CT 06812-3532

Mailing address

38 Sunset TRL
New Fairfield, CT 06812-3532

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
I20250205001866 CT Practitioner - Mental Health Counselor 7416487574 Reassigns benefits to 1 organization
Practice locations: Danbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Center of OxfordGroup PAC ID 4486996329, 6 clinicians

Practice addresses (Care Compare)

4 Corporate Dr
Suite 486
Shelton, CT 06484-6266
Phone (203) 951-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3336CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Center of Oxford CurrentSince Oct 11, 2025 Accepting new patients

Locations

350 Center Rock Grn
Ste 9
Oxford, CT 06478
Phone (203) 951-1858

4 Corporate Dr
Ste 186
Shelton, CT 06484
Phone (203) 327-4444

4 Corporate Dr
Ste 486
Shelton, CT 06484
Phone (203) 951-1858

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1275048266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SUNSET TRL",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SUNSET TRL",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123532",
            "telephone_number": "203-241-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIORDAN",
        "first_name": "MANDY",
        "middle_name": "HAYES",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3336",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

Verify at the official NPI Registry.