Organization Active NPI

Insight Inverse Counseling LLC

  • Clinical Social Worker
  • Groton, CT
National Provider Identifier
1538820600
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INSIGHT INVERSE COUNSELING LLC
Practice address
554 Long Hill Rd Ste 8
Groton, CT 06340-4170
Phone
(860) 650-0053
Fax
(508) 433-1871
NPI assigned
Dec 31, 2021
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Therese Alexander-Ssebagala, LICSWNPI 1952836660
Title
Owner
Phone
(860) 650-0053

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

554 Long Hill Rd Ste 8
Groton, CT 06340-4170

Mailing address

21 Providence CT
Groton, CT 06340-4711
Phone (860) 650-0053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803002321 CT Part B Supplier - Clinic/Group Practice 6901293737 Receives reassigned benefits from 1 practitioner
Practice locations: Groton, CT

National Provider Directory

National Provider Directory

Locations

554 Long Hill Rd
Ste 8
Groton, CT 06340
Phone (860) 650-0053

11 Boston Post Rd
Waterford, CT 06385
Phone (860) 339-6973

11 Boston Post Rd
Fl 1
Waterford, CT 06385
Phone (203) 641-5659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1538820600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PROVIDENCE CT",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404711",
            "telephone_number": "860-650-0053",
            "fax_number": "508-433-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LONG HILL RD STE 8",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404170",
            "telephone_number": "860-650-0053",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT INVERSE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER-SSEBAGALA",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-650-0053",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.