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INNERLIGHT WELLNESS COUNSELING PLLC
NPI 1043094956
Marriage & Family Therapist in Glastonbury, CT

Active since August 22, 2023
119C GRISWOLD ST STE 202, GLASTONBURY, CT 06033(860) 918-7946(860) 735-5842 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Innerlight Wellness Counseling Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNERLIGHT WELLNESS COUNSELING PLLC (NPI 1043094956) is a healthcare organization registered as a marriage & family therapist in Glastonbury, Connecticut and active in the NPI registry since August 2023. The organization lists Mandy L Tiedeman, Member, as its authorized official.

NPPES Registry Identity

NPI1043094956
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameINNERLIGHT WELLNESS COUNSELING PLLC
Location Address119C GRISWOLD ST STE 202Glastonbury, CT 06033-1099
Mailing Address119c Griswold St Ste 202Glastonbury, CT 06033-1099 · (860) 918-7946
Phone(860) 918-7946
Fax(860) 735-5842
Organization SubpartNo
Authorized OfficialMandy L TiedemanMember · (860) 918-7946
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1043094956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
119C GRISWOLD ST STE 202, Glastonbury, CT 06033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innerlight Wellness Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innerlight Wellness Counseling PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joy Mitchell, LCSW
Clinical Social Worker
NPI 1629462536
30 ARBOR ST
Hartford, CT 06106
(860) 904-7890
✔ PECOS5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innerlight Wellness Counseling PLLC's NPI number?

The NPI number for Innerlight Wellness Counseling PLLC is 1043094956. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Innerlight Wellness Counseling PLLC located?

Innerlight Wellness Counseling PLLC is located at 119C Griswold St Ste 202, Glastonbury, CT 06033. The listed phone number is (860) 918-7946.

What is Innerlight Wellness Counseling PLLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Innerlight Wellness Counseling PLLC enrolled in Medicare?

Yes. Innerlight Wellness Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innerlight Wellness Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Innerlight Wellness Counseling PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innerlight Wellness Counseling PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Innerlight Wellness Counseling PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innerlight Wellness Counseling PLLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.