Individual provider Active NPI

Brittney Wilkes, LPC

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1801210554
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003086 Issued in CT
Practice address
969 W Main St Ste 2G
Waterbury, CT 06708-2666
Phone
(203) 872-5577
Fax
(844) 847-7193
NPI assigned
Feb 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003086 CT Primary

Addresses

Primary practice location

969 W Main St Ste 2G
Waterbury, CT 06708-2666

Mailing address

969 W Main St Ste 2G
Waterbury, CT 06708-2666
Phone (203) 872-5577

Other identifiers 1

IdentifierTypeStateIssuer
008071418MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003086CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewing Minds Counseling LLC Professional Current Accepting new patients

Locations

969 W Main St
Ste 2G
Waterbury, CT 06708
Phone (203) 697-8983

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1801210554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST STE 2G",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082666",
            "telephone_number": "203-872-5577",
            "fax_number": "844-847-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST STE 2G",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082666",
            "telephone_number": "203-872-5577",
            "fax_number": "844-847-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "BRITTNEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008071418",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.