Individual provider Active NPI

Cherie Mandel-Reichgut, MSW

  • Mental Health Counselor
  • Stratford, CT
National Provider Identifier
1801956529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003171 Issued in CT
Practice address
80 Ferry Blvd
Suite 204
Stratford, CT 06615-6079
Phone
(203) 378-1654
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003171 CT Primary

Addresses

Primary practice location

80 Ferry Blvd
Suite 204
Stratford, CT 06615-6079

Mailing address

1B Seaview Ave
#14
Milford, CT 06460-5204
Phone (203) 876-7945

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
003171CTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801956529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1B SEAVIEW AVE",
            "address_2": "#14",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605204",
            "telephone_number": "203-876-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FERRY BLVD",
            "address_2": "SUITE 204",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156079",
            "telephone_number": "203-378-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL-REICHGUT",
        "first_name": "CHERIE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.