Individual provider Active NPI

Alanna Esther Mouta, MS, LPCA

  • Mental Health Counselor
  • Watertown, CT
National Provider Identifier
1346871720
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3946 Issued in CT
Practice address
27 Siemon Company Dr
Watertown, CT 06795-2654
Phone
(860) 387-5689
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3946 CT Primary

Addresses

Primary practice location

27 Siemon Company Dr
Watertown, CT 06795-2654

Mailing address

170 Scott St
Naugatuck, CT 06770-4367
Phone (203) 802-7546

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alanna@mindfulhealingllc.com

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
I20240125002325 CT Practitioner - Mental Health Counselor 6103279278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3946CTMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Center for Counseling & Learning, LLC CurrentSince Jan 1, 2024 Accepting new patients
Compassionate Care Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

1000 Bridgeport Ave
Ste 202
Shelton, CT 06484
Phone (203) 712-9998

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1346871720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SCOTT ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704367",
            "telephone_number": "203-802-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "860-387-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTA",
        "first_name": "ALANNA",
        "middle_name": "ESTHER",
        "credential": "MS, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alanna@mindfulhealingllc.com",
            "affiliation": "N",
            "address_1": "27 Siemon Company Dr",
            "city": "Watertown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067952654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.