Organization Active NPI

I Witness Counseling LLC

  • Community/Behavioral Health Agency
  • Manchester, CT
National Provider Identifier
1346018553
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
I WITNESS COUNSELING LLC
Practice address
112 Spencer St Ste 2
Manchester, CT 06040-4601
Phone
(203) 441-3132
Fax
(203) 324-0420
NPI assigned
Dec 18, 2023
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Viola Borden, LPC, LMHCNPI 1487133435
Title
Owner/ LPC, LMHC
Phone
(413) 252-2400

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

112 Spencer St Ste 2
Manchester, CT 06040-4601

Mailing address

1313 Woodgate Cir
Enfield, CT 06082-5591
Phone (860) 858-1288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018003609 MA Part B Supplier - Clinic/Group Practice 0244762946 Receives reassigned benefits from 1 practitioner
Practice locations: Longmeadow, MA

National Provider Directory

National Provider Directory

Locations

785 Williams St
Longmeadow, MA 01106
Phone (203) 598-6045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1346018553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 WOODGATE CIR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825591",
            "telephone_number": "860-858-1288",
            "fax_number": "413-252-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST STE 2",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "203-441-3132",
            "fax_number": "203-324-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I WITNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_title_or_position": "OWNER/ LPC, LMHC",
        "authorized_official_telephone_number": "413-252-2400",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.