Organization Active NPI

Hummingbird Counseling & Wellness, LLC

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1427695790
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HUMMINGBIRD COUNSELING & WELLNESS, LLC
Practice address
934 Chase Pkwy
Waterbury, CT 06708-2916
Phone
(203) 829-6222
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Jeanna Spatta, LCSWNPI 1063585461
Title
Psychotherapist
Phone
(203) 829-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

934 Chase Pkwy
Waterbury, CT 06708-2916

Mailing address

446 Center St
Wolcott, CT 06716-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200413001125 CT Part B Supplier - Clinic/Group Practice 5698104784 Receives reassigned benefits from 1 practitioner
Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Locations

934 Chase Pkwy
Waterbury, CT 06708
Phone (203) 753-8081

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1427695790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 CENTER ST",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082916",
            "telephone_number": "203-829-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMINGBIRD COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "SPATTA",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-829-6222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.