Individual provider Active NPI

Manuelma Paulino

  • Marriage & Family Therapist
  • Torrington, CT
National Provider Identifier
1952969941
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
50 Litchfield St
Torrington, CT 06790-6424
Phone
(860) 489-3391
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwoods Counseling Referrals Inc 10 clinicians

Practice addresses (Care Compare)

25 S St
Litchfield, CT 06759-4005
Phone (860) 567-4437

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20251113001848 CT Practitioner - Marriage and Family Therapist 8921409806 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2553CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Phase Therapy, LLC Marriage & Family Therapist CurrentSince Apr 1, 2022 Accepting new patients
Greenwoods Counseling Referrals, Inc. Marriage & Family Therapist CurrentSince Oct 31, 2025 Accepting new patients
Northwest Counseling Services PC Marriage & Family Therapist Past Accepting new patients

Locations

25 South St
Litchfield, CT 06759
Phone (860) 393-2520

Interoperability endpoints

  • Direct secure messaging: manuelma.paulino@xdr.hhchealthdirect.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

50 Litchfield St
Torrington, CT 06790-6424

Mailing address

50 Litchfield St
Torrington, CT 06790-6424
Phone (860) 489-3391

Other practice location 1

330 Highland Ave Apt 9C
Torrington, CT 06790-4746
Phone (860) 595-2359

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1629075734MedicaidCT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2022.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1952969941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906424",
            "telephone_number": "860-489-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906424",
            "telephone_number": "860-489-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Highland Ave Apt 9C",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067904746",
            "country_code": "US",
            "telephone_number": "860-595-2359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULINO",
        "first_name": "MANUELMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629075734",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.