Active NPI
Nicole Grant
- Professional Counselor
- Waterbury, CT
National Provider Identifier
1922880988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9194
- Practice address
- 855 Lakewood Rd
Waterbury, CT 06704-5408 - Phone
- (888) 793-3500
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9194 | CT | Primary |
Addresses
Primary practice location
855 Lakewood Rd
Waterbury, CT 06704-5408
Mailing address
212 Pullen Ave
Waterbury, CT 06708-1261
Phone (914) 255-3132
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
855 Lakewood Rd
Waterbury, CT 06704-5408
Phone (860) 793-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeler Clinic Inc | Current | Accepting new patients | |
| Wheeler Clinic Inc | Current | Accepting new patients |
Locations
855 Lakewood Rd
Waterbury, CT 06704
Phone (860) 414-2504
Interoperability endpoints
- nicole.grant.p1@direct.wheelerclinic.nextgenshare.com
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plainville, CT
- NPI 1396750840
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1790532802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1922880988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 PULLEN AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081261",
"telephone_number": "914-255-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 LAKEWOOD RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067045408",
"telephone_number": "888-793-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "9194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.