Organization Active NPI

Inner Ember Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Suffield, CT
National Provider Identifier
1770489940
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNER EMBER COUNSELING LLC
Practice address
35 Stony Brook Dr
Suffield, CT 06078-2372
Phone
(860) 777-9010
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Shayla Mattesen, MA, LPC
Title
Licensed Professional Counselor
Phone
(860) 466-9754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

35 Stony Brook Dr
Suffield, CT 06078-2372

Mailing address

35 Stony Brook Dr
Suffield, CT 06078-2372

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1770489940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 STONY BROOK DR",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 STONY BROOK DR",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782372",
            "telephone_number": "860-777-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER EMBER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "MATTESEN",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-466-9754",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.