Organization Active NPI

Insight Counseling Group, LLC

  • Professional Counselor
  • New Haven, CT
National Provider Identifier
1700424967
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INSIGHT COUNSELING GROUP, LLC
Practice address
261 Bradley St
3Rd Floor
New Haven, CT 06510
Phone
(434) 270-0571
Fax
(434) 595-6198
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Matthew Vernon Bukowski, LPCNPI 1750946745
Title
Owner/Employee
Phone
(302) 593-4598

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

261 Bradley St
3Rd Floor
New Haven, CT 06510

Mailing address

386 Prospect St Apt A1
New Haven, CT 06511-2117
Phone (302) 593-4598

Other practice location 1

1135 Nuckols Rd
#2026
Glen Allen, VA 23059
Phone (434) 270-0571

National Provider Directory

National Provider Directory

Locations

261 Bradley St
Ste 3
New Haven, CT 06510
Phone (203) 752-1733

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": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1700424967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 PROSPECT ST APT A1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112117",
            "telephone_number": "302-593-4598",
            "fax_number": "434-595-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BRADLEY ST",
            "address_2": "3RD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "434-270-0571",
            "fax_number": "434-595-6198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Nuckols Rd",
            "address_2": "#2026",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "23059",
            "country_code": "US",
            "telephone_number": "434-270-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHT COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "BUKOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "302-593-4598",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.