Azaria Drakeford

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

341 E Center St # 132
Manchester, CT 06040-4484

Phone

(860) 648-3592

NPI assigned

Jan 9, 2019

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• First Light Collective Incorporated

  • Community/Behavioral Health Agency
  • Manchester, CT
  • NPI 1609665520

  Counselor, CT, MA

  Medicare reassignment NPD Authorized official
• Be Mindful Clinic LLC

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1720798317
  NPD

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1447723739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E CENTER ST # 132",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404484",
            "telephone_number": "860-648-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E CENTER ST # 132",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404484",
            "telephone_number": "860-648-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKEFORD",
        "first_name": "AZARIA",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2019-01-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela R Downey, LMSW
• Dyani Dowson
• Jessica Doyle, LCSW
• Dr Vu and Associates LLC
• Dr. Dental of Manchester, PC
• Gwenn I Drapeau, APRN
• Rachel Dubauskas
• Amy Marie Dubenetsky, LMT
• Kelly Lynn Ducharme
• Meghan M Dudek

• All providers in Manchester, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.