Mobenn Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOBENN COUNSELING

Practice address

345 Buckland Hills Dr Apt 8224
Manchester, CT 06042-8724

Phone

(860) 977-7549

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Monique Edwards, LCSWNPI 1760996946

Title

Manager

Phone

(860) 977-7549

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CT2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Edwards

  • Social Worker
  • Bloomfield, CT
  • NPI 1760996946

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Suzanne Adamec, LCSW

  • Mental Health Counselor
  • Manchester, CT
  • NPI 1083008106
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1407430499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BUCKLAND HILLS DR APT 8224",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428724",
            "telephone_number": "860-977-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BUCKLAND HILLS DR APT 8224",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428724",
            "telephone_number": "860-977-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBENN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-977-7549",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya E Mitchell
• Levar Mitchell, LMSW
• Jyoti Mittal, PA
• Shanay Mitto
• Issac N Mizray
• Jennifer Moffa, P.D.
• Abbas Mohammadi, D.D.S.
• Alexis Mohammed, LCSW
• Kristiana Moliko, LMSW
• Katherine Gabrielle Molinari, LPC-A

• Clinical Social Worker in Manchester, CT
• Providers in Manchester, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.