Individual provider Active NPI

Eileen Echevarria, MS

  • Professional Counselor
  • Glastonbury, CT
National Provider Identifier
1871125229
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
110 National Dr
Glastonbury, CT 06033-4371
Phone
(860) 657-8910
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

110 National Dr
Glastonbury, CT 06033-4371

Mailing address

110 National Dr
Glastonbury, CT 06033-4371
Phone (860) 657-8910

Other names 1

  • Eileen Medina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902001572 CT Practitioner - Mental Health Counselor 8426559337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Waterside Xing
Suite 401
Windsor, CT 06095-1588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4551CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plum Blossom Therapeutic Services LLC Professional CurrentSince Aug 23, 2020 Accepting new patients
Community Health Resources, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Community Health Resources, Inc. CurrentSince Jul 21, 2025 Accepting new patients

Locations

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

444 Center St
Manchester, CT 06040
Phone (860) 646-3888

2 Waterside Xing
Ste 401
Windsor, CT 06095

30 Maple Ave
Ste B2
Windsor, CT 06095
Phone (860) 386-8024

Interoperability endpoints

  • Direct secure messaging: eileen.medina@xdr.hhchealthdirect.org

Organizations & group practices 3

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1871125229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NATIONAL DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334371",
            "telephone_number": "860-657-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NATIONAL DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334371",
            "telephone_number": "860-657-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "MEDINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.