Organization Active NPI

Itherapy Anywhere LLC

  • Mental Health Counselor
  • West Hartford, CT
National Provider Identifier
1477278083
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ITHERAPY ANYWHERE LLC
Practice address
28 Steven St Apt B
West Hartford, CT 06110-2616
Phone
(860) 952-9677
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Joy N Watkins, LMSWNPI 1063713535
Title
Managing Member
Phone
(860) 952-9677

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

28 Steven St Apt B
West Hartford, CT 06110-2616

Mailing address

28 Steven St Apt B
West Hartford, CT 06110-2616
Phone (860) 952-9677

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.itherapyanywhere.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230907002092 CT Part B Supplier - Clinic/Group Practice 3678937752 Receives reassigned benefits from 1 practitioner
Practice locations: West Hartford, CT
O20260128002369 MN Part B Supplier - Clinic/Group Practice 3678937752 Receives reassigned benefits from 1 practitioner
Practice locations: Owatonna, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1477278083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 STEVEN ST APT B",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102616",
            "telephone_number": "860-952-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 STEVEN ST APT B",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102616",
            "telephone_number": "860-952-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHERAPY ANYWHERE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-952-9677",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.itherapyanywhere.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.itherapyanywhere.com",
            "address_1": "28 Steven St Apt B",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061102616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.