INDIGO COUNSELING SERVICES LLC (NPI# 1346875689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346875689 |
| Entity Type | Organization |
| Organization Name | INDIGO COUNSELING SERVICES LLC |
| Practice Address |
360 Bloomfield Ave Windsor CT 06095-2700 |
| Mailing Address |
96 Chapel Rd South Windsor CT 06074-4005 |
| Practice Telephone | 8608695034 |
| Mailing Telephone | 8608695034 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | SANDRA WILKOS (OWNER) |
| Authorized Official Telephone | 8608695034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
360 BLOOMFIELD AVE |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255342556 | Sean Timothy Brennan | Physician Assistant | 360 Bloomfield Ave, Suite 209, Windsor, CT 06095-2700 | 2006-08-11 |
| 1942818968 | Victoria Dionne | Behavior Technician | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2020-07-15 |
| 1245896687 | Heather Morgan Haas | Behavioral Analyst | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2019-05-10 |
| 1306300397 | Mojdeh Heidari | Family Medicine | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2019-01-24 |
| 1235621236 | Trudy Tamara Pearson | Social Worker | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2018-06-05 |
| 1801332812 | Clark Counseling Services LLC | Counselor | 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 | 2017-01-13 |
| 1922470772 | Purple Hearts Home Care LLC | Exclusive Provider Organization | 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 | 2015-10-20 |
| 1366821886 | Love and Caring Home Care Agency LLC | Home Health | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2015-05-29 |
| 1588055818 | Velanda Samuel | Social Worker | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2015-02-09 |
| 1871982967 | Breakthrough Clinical Services | Social Worker | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174844476 | Nichole Kristen Douglas | Counselor | 1289 Seghesio Way, Windsor, CA 95492-7711 | 2010-06-21 |
| 1548733835 | Tylon Crump | Counselor | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2019-01-09 |
| 1013480300 | Brittany Bauer | Counselor | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2019-01-09 |
| 1932672235 | Keiva Mcallister | Counselor | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2019-01-09 |
| 1861963795 | Gloria Thompson | Counselor | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2018-12-17 |
| 1124541875 | Tiffany Chanell Duck | Counselor | 11339 Windsor Blvd, Windsor, VA 23487-5657 | 2017-07-24 |
| 1710439518 | Yvonne Sailor | Counselor | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2016-10-27 |
| 1881147304 | Nikole Perryman | Counselor | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2016-08-02 |
| 1942659511 | Natasha Fernandez | Counselor | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2016-06-06 |
| 1417316233 | Aaron Smith | Counselor | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2016-02-22 |
| Find all providers in WINDSOR | ||||
Please comment or provide details below to improve the information on INDIGO COUNSELING SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.