Individual provider Active NPI

Maureen Victoria Walsh, M.A.

  • Professional Counselor
  • West Hartford, CT
National Provider Identifier
1578702890
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002083 Issued in CT
Practice address
846 Farmington Ave Ste 4
West Hartford, CT 06119-1554
Phone
(860) 878-9719
NPI assigned
Feb 10, 2009
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002083 CT Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

846 Farmington Ave Ste 4
West Hartford, CT 06119-1554

Mailing address

846 Farmington Ave Ste 4
West Hartford, CT 06119-1554
Phone (860) 878-9719

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
I20240115001679 CT Practitioner - Mental Health Counselor 5890147870 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
002083CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. Current Accepting new patients
Prospect Manchester Hospital, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Prospect Manchester Hospital, Inc. Current Accepting new patients
Prospect Manchester Hospital, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Intercommunity, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

2600 Tamarack Ave
South Windsor, CT 06074
Phone (860) 872-0501

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1578702890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 FARMINGTON AVE STE 4",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191554",
            "telephone_number": "860-878-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 FARMINGTON AVE STE 4",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191554",
            "telephone_number": "860-878-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MAUREEN",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002083",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.