Individual provider Active NPI

Nicola Weise

  • Mental Health Counselor
  • Hartford, CT
National Provider Identifier
1932668118
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3580 Main St Ste E
Hartford, CT 06120-1121
Phone
(860) 778-5317
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CT Primary
Clinical Social Worker 1041C0700X CT

Addresses

Primary practice location

3580 Main St Ste E
Hartford, CT 06120-1121

Mailing address

12 Freeman St FL 2
Hartford, CT 06114-2719
Phone (860) 922-7376

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
I20200901000444 CT Practitioner - Clinical Social Worker 7416384458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. CurrentSince Apr 22, 2020 Accepting new patients
First Choice Health Centers, Inc. Current Accepting new patients
Path to Empowered Healing Counseling LLC Clinical Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Apr 22, 2020 Accepting new patients
Calissa's Counseling Services, LLC Mental Health Past Accepting new patients
First Choice Health Centers, Inc. PastSince Apr 22, 2020 Accepting new patients

Locations

478 Burnside Ave
East Hartford, CT 06108
Phone (860) 289-7161

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

Organizations & group practices 6

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1932668118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FREEMAN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142719",
            "telephone_number": "860-922-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 MAIN ST STE E",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201121",
            "telephone_number": "860-778-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "NICOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.