Individual provider Active NPI

Marah Warhaftig

  • Mental Health Counselor
  • West Hartford, CT
National Provider Identifier
1497130140
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3592 Issued in CT
Practice address
645 Prospect Ave Unit 5
West Hartford, CT 06105-4252
Phone
(860) 833-1403
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3592 CT Primary

Addresses

Primary practice location

645 Prospect Ave Unit 5
West Hartford, CT 06105-4252

Mailing address

645 Prospect Ave Unit 5
West Hartford, CT 06105-4252
Phone (860) 833-1403

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
I20250401002156 CT Practitioner - Mental Health Counselor 9931622800 Practice locations: West Hartford, CT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

West Hartford, CT 06105
Phone (860) 809-1914

645 Prospect Ave Unit
Suite 5
West Hartford, CT 06105-4252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holding Hope Counseling Center CurrentSince Jun 25, 2023 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": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1497130140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PROSPECT AVE UNIT 5",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061054252",
            "telephone_number": "860-833-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PROSPECT AVE UNIT 5",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061054252",
            "telephone_number": "860-833-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARHAFTIG",
        "first_name": "MARAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.