Individual provider Active NPI

Walter Van Sambeck, DIPL. PSYCH.

  • Addiction (Substance Use Disorder) Counselor
  • Colchester, CT
National Provider Identifier
1437218823
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000462 Issued in CT
Practice address
244 S Main St
Colchester, CT 06415-1405
Phone
(860) 537-3977
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000462 CT Primary
Professional Counselor 101YP2500X 000493 CT

Addresses

Primary practice location

244 S Main St
Colchester, CT 06415-1405

Mailing address

244 S Main St
Colchester, CT 06415-1405
Phone (860) 537-3977

Other identifiers 1

IdentifierTypeStateIssuer
300000462CT01OtherCTBLUE CROSS BLUE SHIELD

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
I20241204000123 CT Practitioner - Mental Health Counselor 7416495387 Practice locations: Colchester, CT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

244 S Main St
Colchester, CT 06415-1405
Phone (860) 537-3977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000462CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Van Sambeck Addiction (Substance Use Disorder) PastSince Nov 23, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437218823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S MAIN ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151405",
            "telephone_number": "860-537-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S MAIN ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151405",
            "telephone_number": "860-537-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SAMBECK",
        "first_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "DIPL. PSYCH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000462",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "300000462CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, CT

Sources for this page

Verify at the official NPI Registry.