Warrior's Walk Integrated Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WARRIOR'S WALK INTEGRATED COUNSELING LLC

Practice address

13 Arcadia Rd Ste 1
Old Greenwich, CT 06870-1743

Phone

(888) 974-6930

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Jesse Mancinone, LPC

Title

Managing Member

Phone

(802) 310-6099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1477193381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BRADLEY AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067084439",
            "telephone_number": "802-310-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ARCADIA RD STE 1",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701743",
            "telephone_number": "888-974-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 W Main St # 26",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082653",
            "country_code": "US",
            "telephone_number": "888-974-6930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WARRIOR'S WALK INTEGRATED COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "MANCINONE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "802-310-6099",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Vella, PT, DPT
• Patricia Vidal
• Alyssa M Vogel, DPT
• Karen Lynn Wakeley, MPS, LPC, ATR-BC
• Rebecca Lipton Warkol, MD
• Gail Weiner, M.D.
• Priscilla J Whittington, DVM, MPA
• Ernest James Whittle III, B.S., D.D.S.
• Lori Attanasio Woodring, PH.D.

• Professional Counselor in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.