NPIMap

Organization Active NPI

Inner Wellness Counseling Group, LLC

  • Clinical Social Worker
  • Cromwell, CT
National Provider Identifier
1336642008
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008112 Issued in CT
Legal business name
INNER WELLNESS COUNSELING GROUP, LLC
Practice address
1 Willowbrook Rd Ste 6
Cromwell, CT 06416-1745
Phone
(860) 830-8866
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Alane VillarNPI 1245508795
Title
Owner
Phone
(860) 402-2825

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 008112 CT Primary

Addresses

Primary practice location

1 Willowbrook Rd Ste 6
Cromwell, CT 06416-1745

Mailing address

1 Willowbrook Rd Ste 6
Cromwell, CT 06416-1745
Phone (860) 402-2825

Other practice location 1

200 Main St
Manchester, CT 06042-3581
Phone (860) 402-2825

Other identifiers 1

IdentifierTypeStateIssuer
CBHP006699MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130001890 CT Part B Supplier - Clinic/Group Practice 3375933658 Receives reassigned benefits from 12 practitioners
Practice locations: Manchester, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1336642008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 6",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-402-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 6",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-830-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060423581",
            "country_code": "US",
            "telephone_number": "860-402-2825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER WELLNESS COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "VILLAR",
        "authorized_official_first_name": "ALANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-402-2825"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBHP006699",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.