Individual provider Active NPI

Asia Chuaviriya

  • Mental Health Counselor
  • Glastonbury, CT
National Provider Identifier
1306454855
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
46.006365 Issued in CT
Practice address
33 Pratt St
Glastonbury, CT 06033-1014
Phone
(860) 946-0447
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 46.004781 CT
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X 46.006365 CT Primary

Addresses

Primary practice location

33 Pratt St
Glastonbury, CT 06033-1014

Mailing address

36 Locust Cir
Rocky Hill, CT 06067-3544
Phone (860) 595-9652

Other practice location 1

360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Phone (818) 345-2345

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
I20241227001869 CT Practitioner - Mental Health Counselor 9335676634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46.004781CTMDMental Health Counselor
46.006365CTMDMental Health Counselor
6365CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Oct 28, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Oct 28, 2024 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: asia.chuaviriya.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 2

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1306454855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LOCUST CIR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673544",
            "telephone_number": "860-595-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PRATT ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331014",
            "telephone_number": "860-946-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Bloomfield Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060952700",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUAVIRIYA",
        "first_name": "ASIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "46.004781",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "46.006365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.