Individual provider Active NPI

Jennifer Lee Eriksson, LPC

  • Professional Counselor
  • Manchester, CT
National Provider Identifier
1417411729
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003194 Issued in CT
Practice address
117 E Center St
Manchester, CT 06040-5246
Phone
(860) 952-9092
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003194 CT Primary
Mental Health Counselor 101YM0800X 003194 CT

Addresses

Primary practice location

117 E Center St
Manchester, CT 06040-5246

Mailing address

158 Forest St Apt 805
Manchester, CT 06040-5968
Phone (860) 952-9092

Other practice location 1

158 Forest St Apt 805
Manchester, CT 06040-5968
Phone (860) 952-9092

Other practice location 2

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222

Other practice location 3

60 Hartford Tpke
Tolland, CT 06084-2842
Phone (860) 952-9092

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
I20250102003238 CT Practitioner - Mental Health Counselor 2567999527 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3194CTMDMarriage & Family Therapist
003194CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vikara Mental Health Counseling LLC Mental Health CurrentSince Nov 4, 2024 Accepting new patients

Locations

117 E Center St
Manchester, CT 06040
Phone (860) 578-4808

60 Hartford Tpke
Tolland, CT 06084
Phone (860) 952-9092

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1417411729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 FOREST ST APT 805",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405968",
            "telephone_number": "860-952-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405246",
            "telephone_number": "860-952-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Forest St Apt 805",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060405968",
            "country_code": "US",
            "telephone_number": "860-952-9092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Haynes St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060404131",
            "country_code": "US",
            "telephone_number": "860-646-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Hartford Tpke",
            "address_purpose": "LOCATION",
            "city": "Tolland",
            "state": "CT",
            "postal_code": "060842842",
            "country_code": "US",
            "telephone_number": "860-952-9092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERIKSSON",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003194",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.