Active NPI
Amanda Gionfriddo
- Counselor
- Wethersfield, CT
National Provider Identifier
1639761836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1177 Silas Deane Hwy
FL 3
Wethersfield, CT 06109 - Phone
- (860) 837-0401
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6214 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflections Counseling and Consulting Services LLC | Current | Accepting new patients | |
| Inner Wellness Counseling Group, LLC | Current | 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
- 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.
-
- Clinical Social Worker
- Cromwell, CT
- NPI 1336642008
-
- Marriage & Family Therapist
- Wethersfield, CT
- NPI 1336518596
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
- Gerident Solutions, LLC
- William Robert Gesztes, MD, MSC
- James Gibson, PA-C
- William C Gilbert, PHD,MSW, LCSW
- Kelley Lynn Gilroy, APRN
- Lawrence M Giove, M.D.
- Jerome I Glazer, O.D.
- Daniel Gerardo Gomez, DO
- Good Faith Care Inc Dba Good Faith Care (Good Faith Care)
- Good Faith Care Inc Dba Good Faith Care (Good Faith Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.