Organization Active NPI

Ehw Counseling & Therapy LLC

  • Marriage & Family Therapist
  • Madison, CT
National Provider Identifier
1295278539
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1848 Issued in CT
Legal business name
EHW COUNSELING & THERAPY LLC
Practice address
63 Wall St
Madison, CT 06443-3121
Phone
(203) 318-4224
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Elizabeth Wilson, LMFT, LADC, MSWNPI 1215309174
Title
Therapist Counselor
Phone
(203) 318-4224

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1169 CT
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1848 CT Primary

Addresses

Primary practice location

63 Wall St
Madison, CT 06443-3121

Mailing address

PO Box 179
Madison, CT 06443-0179
Phone (203) 318-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240315001014 CT Part B Supplier - Clinic/Group Practice 3476999178 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, CT

National Provider Directory

National Provider Directory

Locations

63 Wall St
Madison, CT 06443
Phone (203) 318-4224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1295278539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064430179",
            "telephone_number": "203-318-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WALL ST",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433121",
            "telephone_number": "203-318-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHW COUNSELING & THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST COUNSELOR",
        "authorized_official_telephone_number": "203-318-4224",
        "authorized_official_credential": "LMFT, LADC, MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1169",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.

Verify at the official NPI Registry.