Authentic-Self Counseling, LLC

Key facts

NPI: 1679229769
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
Legal business name: AUTHENTIC-SELF COUNSELING, LLC
Practice address: 239 Farms Village Rd Unit 305
West Simsbury, CT 06092-7713
Phone: (860) 325-7344
NPI assigned: Feb 27, 2022
Organization subpart: No

Authorized official

Name: Susan Carol Eisenberg
Title: Owner
Phone: (860) 325-7344

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Susan Carol Eisenberg, LCSW Clinical Social Worker · West Simsbury, CT · NPI 1013660174

Medicare reassignment NPD CLINICAL · CT

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220401001335	CT	Part B Supplier - Clinic/Group Practice	2264828193	Receives reassigned benefits from 1 practitioner Practice locations: Avon, CT

National Provider Directory

Locations

239 Farms Village Rd
Unit 305
West Simsbury, CT 06092

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker Group: 193400000X SINGLE SPECIALTY GROUP	1041C0700X			Yes

Addresses

Primary practice location

239 Farms Village Rd Unit 305
West Simsbury, CT 06092-7713

Mailing address

239 Farms Village Rd Unit 305
West Simsbury, CT 06092-7713
Phone (860) 325-7344

Other providers in West Simsbury, CT

Jessica Abate, LCSW
Advanced Valley Dental, LLC
Jacqueline Marie Alexander, MA, LPC, NCC
Elaine Marie Arthur, RD
Christina Browning, CLD, CCD
Russell A Ciafone, MD
John Connelly
William E Dedominicis, DDS
Susan Carol Eisenberg, LCSW

All providers in West Simsbury, CT · Clinical Social Worker in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. 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.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.