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COLLEGE STREET COUNSELING CENTER LLC
NPI 1093089948
Social Worker - Clinical in Middletown, CT

Active since February 23, 2012
154 COLLEGE ST, MIDDLETOWN, CT 06457(860) 347-8894(860) 346-2405 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About College Street Counseling Center Llc NPPES

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

COLLEGE STREET COUNSELING CENTER LLC (NPI 1093089948) is a healthcare organization registered as a clinical in Middletown, Connecticut and active in the NPI registry since February 2012. The organization lists Phillip Sylvester, Partner, as its authorized official.

NPPES Registry Identity

NPI1093089948
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOLLEGE STREET COUNSELING CENTER LLC
Location Address154 COLLEGE STMiddletown, CT 06457-3201
Mailing Address154 College StMiddletown, CT 06457-3201 · (860) 347-8894 · Fax (860) 346-2405
Phone(860) 347-8894
Fax(860) 346-2405
Organization SubpartNo
Authorized OfficialPhillip SylvesterPartner · (860) 347-8894
Enumeration DateFebruary 23, 2012
✔ NPI 1093089948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 004228
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 000329 (CT)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
154 COLLEGE ST, Middletown, CT 06457
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Other Identifiers 1

Medicare PIN800001889CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

College Street Counseling Center Llc 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 College Street Counseling Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathleen Watanabe, LCSW LADC
Clinical Social Worker
NPI 1518079730
154 COLLEGE ST
Middletown, CT 06457
(860) 347-8894
✔ PECOS✔ Accepts MedicareSame address

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 College Street Counseling Center LLC's NPI number?

The NPI number for College Street Counseling Center LLC is 1093089948. It was assigned to this organization in the NPPES registry on February 23, 2012.

Where is College Street Counseling Center LLC located?

College Street Counseling Center LLC is located at 154 College St, Middletown, CT 06457. The listed phone number is (860) 347-8894.

What is College Street Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is College Street Counseling Center LLC enrolled in Medicare?

Yes. College Street Counseling Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through College Street Counseling Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to College Street Counseling Center LLC. 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.

When was this NPI record last updated?

The NPPES record for College Street Counseling Center LLC was last updated on February 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.