Active NPI
Sylvia Stevens
- Mental Health Counselor
- Hartford, CT
National Provider Identifier
1487216784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 43 Woodland St
Hartford, CT 06105-2363 - Phone
- (860) 793-7245
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
43 Woodland St
Hartford, CT 06105-2363
Mailing address
4 Town House LN
Wethersfield, CT 06109-3411
Phone (860) 680-3208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000000 | Other | CT | N/A |
| 001670545 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | n/a | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12261 | CT | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage to Heal Therapy Services | Current | Accepting new patients | |
| Serenity Wellness LLC | Single Specialty | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
388 E Main St
Ste 2
Branford, CT 06405
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
300 Plaza Middlesex
Ste 2
Middletown, CT 06457
Phone (860) 346-6020
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Interoperability endpoints
- sylvia.stevens.p1@direct.wheelerclinic.nextgenshare.com
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Middletown, CT
- NPI 1396264313
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Britain, CT
- NPI 1831803113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1487216784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 TOWN HOUSE LN",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093411",
"telephone_number": "860-680-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052363",
"telephone_number": "860-793-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SYLVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "000000000000",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001670545",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "n/a",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "43 Woodland St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061052363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.