Organization Active NPI

Preservation Within Therapy Practice, LLC

  • Professional Counselor
  • Putnam, CT
National Provider Identifier
1891313797
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PRESERVATION WITHIN THERAPY PRACTICE, LLC
Practice address
134 Main St
Putnam, CT 06260-1920
Phone
(860) 926-0142
Fax
(860) 413-0919
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Amanda Jean Elwell, LPCNPI 1598178865
Title
Licensed Professional Counselor
Phone
(860) 926-0142

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

134 Main St
Putnam, CT 06260-1920

Mailing address

PO Box 633
Putnam, CT 06260-0633
Phone (860) 926-0142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240313001677 CT Part B Supplier - Clinic/Group Practice 4082050091 Receives reassigned benefits from 1 practitioner
Practice locations: Putnam, CT
O20240916003441 MA Part B Supplier - Clinic/Group Practice 4082050091 Receives reassigned benefits from 1 practitioner
Practice locations: Gardner, MA

National Provider Directory

National Provider Directory

Locations

58 Pomfret St
Ste 122
Putnam, CT 06260
Phone (860) 926-0142

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1891313797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062600633",
            "telephone_number": "860-926-0142",
            "fax_number": "860-413-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MAIN ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601920",
            "telephone_number": "860-926-0142",
            "fax_number": "860-413-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVATION WITHIN THERAPY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "ELWELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-926-0142",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.