Individual provider Active NPI

Mailae-Bryzile Halstead, LPCA, NCC

  • Mental Health Counselor
  • Manchester, CT
National Provider Identifier
1932743804
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3936 Issued in CT
Practice address
642 Hilliard St # 1320
Manchester, CT 06042-2701
Phone
(203) 343-0081
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3936 CT Primary

Addresses

Primary practice location

642 Hilliard St # 1320
Manchester, CT 06042-2701

Mailing address

2389 Main St Ste 100
Glastonbury, CT 06033-4617
Phone (203) 343-0081

Other identifiers 1

IdentifierTypeStateIssuer
1326351412OtherCTOUT OF POCKET

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL bwc.theranest.com Direct
Direct Messaging Address constellationsct@pm.me Direct

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
3936CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New England Ocd Institute, LLC Mental Health CurrentSince Jun 25, 2023 Accepting new patients
Constellations Psychotherapy & Consulting, LLC CurrentSince Sep 28, 2025 Accepting new patients
Behavioral Wellness Clinic Mental Health PastSince Nov 1, 2019 Accepting new patients

Locations

2389 Main St
Ste 100
Glastonbury, CT 06033
Phone (203) 521-6560

642 Hilliard St
#1320
Manchester, CT 06042
Phone (203) 343-0081

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1932743804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 MAIN ST STE 100",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334617",
            "telephone_number": "203-343-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST # 1320",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422701",
            "telephone_number": "203-343-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "MAILAE-BRYZILE",
        "name_prefix": "Mrs.",
        "credential": "LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF POCKET",
            "identifier": "1326351412",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bwc.theranest.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "392 Merrow Rd Ste E",
            "city": "Tolland",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060843974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "constellationsct@pm.me",
            "affiliation": "N",
            "endpointDescription": "Clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "642 Hilliard St # 1320",
            "city": "Manchester",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060422701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.