Yvonne Wutka

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001056 Issued in CT

Practice address

133 Mountain Rd
Suffield, CT 06078-2084

Phone

(860) 729-8658

NPI assigned

Mar 20, 2009

Last updated

Mar 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, VA3 enrollments

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 3

Specialty

Marriage and Family Therapist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wyndhurst Counseling Center,LLCGroup PAC ID 2264979103, 19 clinicians

Christian Counseling Connection Inc.Group PAC ID 7416362249, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Counseling Connection Inc

  • Marriage & Family Therapist
  • Goshen, CT
  • NPI 1649205766
  Medicare reassignment Care Compare group NPD
• Wyndhurst Counseling Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1891859864
  Medicare reassignment Care Compare group NPD
• Taylored Counseling Services LLC

  • Counselor
  • Lynchburg, VA
  • NPI 1023888484
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1407097462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HOMEWOOD RD",
            "city": "EAST HARTLAND",
            "state": "CT",
            "postal_code": "060271620",
            "telephone_number": "860-729-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MOUNTAIN RD",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782084",
            "telephone_number": "860-729-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUTKA",
        "first_name": "YVONNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Waterman, DDS
• Jonathan Weber
• Rachel Weintraub, LPC, NCC
• Jaclyn Willemain, LCSW
• Jane Woods, LPC
• Stephen Yuan, M.D.
• Shannah Zinkievich

• Marriage & Family Therapist in Suffield, CT
• Providers in Suffield, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.