NPIMap

Organization Active NPI

Darien Wellness

  • Mental Health Counselor
  • Darien, CT
National Provider Identifier
1710344809
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2481 Issued in CT
Legal business name
DARIEN WELLNESS
Practice address
30 Old Kings Hwy S
Darien, CT 06820-4551
Phone
(203) 883-0464
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Ciera Hawkins
Title
Client Care Supervisor
Phone
(203) 883-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2481 CT Primary

Addresses

Primary practice location

30 Old Kings Hwy S
Darien, CT 06820-4551

Mailing address

PO Box 8176
# 35651
Greenwich, CT 06836-0161
Phone (203) 883-0464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240108004554 CT Part B Supplier - Clinic/Group Practice 4981052024 Receives reassigned benefits from 11 practitioners
Practice locations: Darien, CT
O20240402003520 CO Part B Supplier - Clinic/Group Practice 4981052024 Receives reassigned benefits from 4 practitioners
Practice locations: Boulder, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

762 Post Rd
Darien, CT 06820
Phone (203) 688-9855

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1710344809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8176",
            "address_2": "# 35651",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068360161",
            "telephone_number": "203-883-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OLD KINGS HWY S",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204551",
            "telephone_number": "203-883-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIEN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2021-11-05",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CIERA",
        "authorized_official_title_or_position": "CLIENT CARE SUPERVISOR",
        "authorized_official_telephone_number": "203-883-0464"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.