Individual provider Active NPI

Amanda Gionfriddo

  • Counselor
  • Wethersfield, CT
National Provider Identifier
1639761836
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1177 Silas Deane Hwy
FL 3
Wethersfield, CT 06109
Phone
(860) 837-0401
NPI assigned
Feb 9, 2021
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1177 Silas Deane Hwy
FL 3
Wethersfield, CT 06109

Mailing address

175 Burr Rd
Higganum, CT 06441-4456
Phone (860) 878-4300

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
I20240405003288 CT Practitioner - Mental Health Counselor 9133567381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Marymount University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Wellness Counseling Group LLCGroup PAC ID 3375933658, 10 clinicians

Practice addresses (Care Compare)

200 Main St
Manchester, CT 06042-3581
Phone (860) 402-2825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6214CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling and Consulting Services LLC CurrentSince Jan 16, 2024 Accepting new patients
Inner Wellness Counseling Group, LLC CurrentSince Aug 15, 2025 Accepting new patients

Locations

200 Main St
Manchester, CT 06042
Phone (860) 402-2825

1177 Silas Deane Hwy
Ste 3
Wethersfield, CT 06109
Phone (860) 805-7904

Interoperability endpoints

  • Direct secure messaging: amanda.gionfriddo.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 2

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1639761836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BURR RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414456",
            "telephone_number": "860-878-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 SILAS DEANE HWY",
            "address_2": "FL 3",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109",
            "telephone_number": "860-837-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIONFRIDDO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.