Individual provider Active NPI

Gretchen Ruth Hale-West, LPC

  • Professional Counselor
  • East Berlin, CT
National Provider Identifier
1881241529
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5676 Issued in CT
Practice address
1224 Mill St Ste 200
East Berlin, CT 06023-1159
Phone
(860) 258-6060
NPI assigned
Aug 19, 2019
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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 5676 CT Primary

Addresses

Primary practice location

1224 Mill St Ste 200
East Berlin, CT 06023-1159

Mailing address

126 New Britain Ave Apt P2
Plainville, CT 06062-2037
Phone (203) 490-8175

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
5676CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Therapy, LLC Professional Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1881241529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 NEW BRITAIN AVE APT P2",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622037",
            "telephone_number": "203-490-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST STE 200",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-258-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE-WEST",
        "first_name": "GRETCHEN",
        "middle_name": "RUTH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.