Active NPI
Insight Counseling Group, LLC
- Professional Counselor
- New Haven, CT
National Provider Identifier
1700424967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Vernon Bukowski, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Charlottesville, VA
- NPI 1750946745
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.