Active NPI
Nickisha Newell, BS
- Mental Health Counselor
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 287 Main St
East Hartford, CT 06118-1885 - Phone
- (860) 569-5900
- NPI assigned
- Feb 28, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
287 Main St
East Hartford, CT 06118-1885
Mailing address
287 Main St
East Hartford, CT 06118-1885
Phone (860) 569-5900
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
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
281 Main St
East Hartford, CT 06118-1823
Phone (860) 291-1335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13901 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Intercommunity, Inc. | Current | Accepting new patients | |
| Boldbravefearless Counseling and Consulting LLC | Mental Health | Current | Accepting new patients |
| Intercommunity, Inc. | Current | Accepting new patients | |
| Community Mental Health Affiliates Inc | Past | Accepting new patients |
Locations
287 Main St
East Hartford, CT 06118
Phone (860) 716-2518
281 Main St
East Hartford, CT 06118
Phone (860) 291-1335
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701
800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- East Hartford, CT
- NPI 1073548533
-
- Clinical Social Worker
- Hartford, CT
- NPI 1710712997
Mental Health
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1962896548
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Britain, CT
- NPI 1174624423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1962903567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061181885",
"telephone_number": "860-569-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061181885",
"telephone_number": "860-569-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "NICKISHA",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.