Organization Active NPI

Wellness Initiative Inc.

  • Community/Behavioral Health Agency
  • Bloomfield, CT
National Provider Identifier
1386121515
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002709 Issued in CT
Legal business name
WELLNESS INITIATIVE INC.
Practice address
3 Barnard LN Ste 301
Bloomfield, CT 06002-2495
Phone
(860) 969-0040
NPI assigned
Jul 20, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lakisha McCrorey
Title
Licensed Professional Counselor
Phone
(860) 969-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 002709 CT Primary

Addresses

Primary practice location

3 Barnard LN Ste 301
Bloomfield, CT 06002-2495

Mailing address

3 Barnard LN Ste 301
Bloomfield, CT 06002-2495

Other identifiers 1

IdentifierTypeStateIssuer
008070500MedicaidCT

National Provider Directory

National Provider Directory

Locations

3 Barnard Ln
Ste 301
Bloomfield, CT 06002
Phone (860) 969-0040

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386121515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARNARD LN STE 301",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARNARD LN STE 301",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022495",
            "telephone_number": "860-969-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INITIATIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCROREY",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-969-0040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "002709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008070500",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.