Authentic -self Counseling, Llc - Medicare Mental Health Clinic in Avon, CT

Authentic -self Counseling, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Avon, Connecticut. The current practice location for Authentic -self Counseling, Llc is 35 E Main St Ste 125, Avon, Connecticut. For appointments, you can reach them via phone at (860) 325-7344. The mailing address for Authentic -self Counseling, Llc is 35 E Main St Ste 125, Avon, Connecticut and phone number is (860) 325-7344.

Authentic -self Counseling, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679229769. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 325-7344.

Contact Information

Authentic -self Counseling, Llc
35 E Main St Ste 125
Avon
CT 06001-3845
(860) 325-7344
Not Available

Mental Health Clinic Profile

Full NameAuthentic -self Counseling, Llc
SpecialitySocial Worker
Location35 E Main St Ste 125, Avon, Connecticut
Authorized Official Name and PositionSusan Eisenberg (MEMBER)
Authorized Official Contact8603257344
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Authentic -self Counseling, Llc
35 E Main St Ste 125
Avon
CT 06001-3845

Ph: (860) 325-7344
Authentic -self Counseling, Llc
35 E Main St Ste 125
Avon
CT 06001-3845

Ph: (860) 325-7344

NPI Details:

NPI Number1679229769
Provider Enumeration Date02/27/2022
Last Update Date06/22/2022
Certification Date06/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2264828193
Medicare Enrollment IDO20220401001335

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Medical Identifiers

Medical identifiers for Authentic -self Counseling, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679229769NPI-NPPES
1013660174OtherCTNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Authentic -self Counseling, Llc acts as a billing entity for following providers:
Provider NameSusan Eisenberg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013660174
PECOS PAC ID: 7113313651
Enrollment ID: I20220408001164

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