Erin Antwi
Individual provider Active NPI Mental Health Counselor · Colchester, CT
NPI 1669823936 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1669823936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 004324 (CT)
- Practice address
- 217 New London Rd
Colchester, CT 06415-1823 - Phone
- (860) 605-5350
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816002723 | CT | Practitioner - Mental Health Counselor | 2668910993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004324 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Dispensary | Current |
Accepting new patients |
Locations
335 Broad St
Manchester, CT 06040
Phone (860) 643-3200
542 E Main St
New Britain, CT 06051
Phone (860) 827-3313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004324 | CT | Yes |
Addresses
Primary practice location
217 New London Rd
Colchester, CT 06415-1823
Mailing address
217 New London Rd
Colchester, CT 06415-1823
Phone (860) 605-5350
Other providers in Colchester, CT
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All providers in Colchester, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.