NPIMap

Organization Active NPI

Waterstone Counseling Center, LLC

  • Family Medicine Physician
  • Madison, CT
National Provider Identifier
1851767933
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WATERSTONE COUNSELING CENTER, LLC
Practice address
32 Wall St Ste C
Madison, CT 06443-3100
Phone
(203) 245-0412
Fax
(203) 427-0441
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. Thomas Abbenante, MDNPI 1821232034
Title
Owner
Phone
(203) 245-0412

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X

Addresses

Primary practice location

32 Wall St Ste C
Madison, CT 06443-3100

Mailing address

32 Wall St Ste C
Madison, CT 06443-3100
Phone (203) 245-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210624001264 CT Part B Supplier - Clinic/Group Practice 0749681070 Receives reassigned benefits from 12 practitioners
Practice locations: New London, CT; Madison, CT; Hamden, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2098834Waterstone Counseling Center, LLC32 Wall Street Suite C, Madison, CT 06443Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

Locations

15 Valley Dr
Ste 3E
Greenwich, CT 06831
Phone (203) 653-3519

317 Long Hill Rd
Groton, CT 06340
Phone (203) 245-0412

86 Bradley Rd
Ste 2
Madison, CT 06443

446 Blake St
New Haven, CT 06515
Phone (203) 245-0412

400 Bayonet St
Ste 201
New London, CT 06320

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1851767933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WALL ST STE C",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433100",
            "telephone_number": "203-245-0412",
            "fax_number": "203-427-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WALL ST STE C",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433100",
            "telephone_number": "203-245-0412",
            "fax_number": "203-427-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSTONE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "ABBENANTE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-245-0412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.