Organization Active NPI

New Leaf Counseling & Wellness LLC

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1679331136
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NEW LEAF COUNSELING & WELLNESS LLC
Practice address
638 Prospect Ave Ste 300
Hartford, CT 06105-4203
Phone
(860) 965-1111
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Egypciel Victor-Lowderback, LMFTNPI 1912147901
Title
Sole Member
Phone
(860) 965-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

638 Prospect Ave Ste 300
Hartford, CT 06105-4203

Mailing address

638 Prospect Ave Ste 300
Hartford, CT 06105-4203
Phone (860) 965-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260323003250 CT Part B Supplier - Clinic/Group Practice 6103300694 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Locations

638 Prospect Ave
Hartford, CT 06105
Phone (860) 534-1180

638 Prospect Ave
Ste 300
Hartford, CT 06105
Phone (860) 965-1111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1679331136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 PROSPECT AVE STE 300",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054203",
            "telephone_number": "860-965-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 PROSPECT AVE STE 300",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054203",
            "telephone_number": "860-965-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "VICTOR-LOWDERBACK",
        "authorized_official_first_name": "EGYPCIEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "860-965-1111",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.