Individual provider Active NPI

Rayel Smith

  • Professional Counselor
  • New Haven, CT
National Provider Identifier
1427662386
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6558 Issued in CT
Practice address
234 Church St Ste 301
New Haven, CT 06510-1807
Phone
(203) 684-0422
NPI assigned
Sep 8, 2020
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6558 CT Primary

Addresses

Primary practice location

234 Church St Ste 301
New Haven, CT 06510-1807

Mailing address

234 Church St Ste 301
New Haven, CT 06510-1807
Phone (203) 684-0422

Other practice location 1

1151 S Main St
Cheshire, CT 06410-3471
Phone (203) 721-5887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6558CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded in Strength Psychotherapy & Wellness, LLC Mental Health CurrentSince Jul 28, 2024 Accepting new patients

Locations

1151 S Main St
Cheshire, CT 06410
Phone (203) 721-5887

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1427662386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CHURCH ST STE 301",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101807",
            "telephone_number": "203-684-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CHURCH ST STE 301",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101807",
            "telephone_number": "203-684-0422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103471",
            "country_code": "US",
            "telephone_number": "203-721-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAYEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.