Stephanie Karen Watkins, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5436 Issued in CT

Practice address

66 Cedar St Ste 204
Newington, CT 06111-2655

Phone

(860) 665-0200

Fax

(860) 540-1609

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1689302523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 204",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112655",
            "telephone_number": "860-716-9592",
            "fax_number": "860-540-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 204",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112655",
            "telephone_number": "860-665-0200",
            "fax_number": "860-540-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "STEPHANIE",
        "middle_name": "KAREN",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Wallace
• Stephanie Ward, DPT
• Caroline Warner, RPH
• Mark Warren, OT
• John Roger Waterman, M.D.
• Christine Watson, PT
• Shirley Anne Watson, LCSW
• Stacey Borodkin Wayne, OTR/L
• Kelly Webster, OT
• Kimberly Weiss, PT

• Professional Counselor in Newington, CT
• Providers in Newington, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.

Verify at the official NPI Registry.