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PERSONAL GROWTH CONCEPTS, INC.
NPI 1104850353
Social Worker - Clinical in Stratford, CT

Active since July 11, 2006
1825 BARNUM AVE, SUITE 304, STRATFORD, CT 06614(203) 375-5782(203) 375-3048 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Personal Growth Concepts, Inc. NPPES

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

PERSONAL GROWTH CONCEPTS, INC. (NPI 1104850353) is a healthcare organization registered as a clinical in Stratford, Connecticut and active in the NPI registry since July 2006. The organization lists John A Pacheco, President/director, as its authorized official.

NPPES Registry Identity

NPI1104850353
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePERSONAL GROWTH CONCEPTS, INC.
Location Address1825 BARNUM AVE, SUITE 304Stratford, CT 06614-5333
Mailing Address2505 Main St Ste 231, Suite 304Stratford, CT 06615-5839 · (203) 375-5782 · Fax (203) 375-3048
Phone(203) 375-5782
Fax(203) 375-3048
Organization SubpartNo
Authorized OfficialJohn A PachecoPresident/director · (203) 375-5782
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 27, 2017
✔ NPI 1104850353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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 · ProfessionalTaxonomy 101YP2500X
1825 BARNUM AVE, Stratford, CT 06614
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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

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Personal Growth Concepts, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20071004000078Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Personal Growth Concepts, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

John Pacheco, LCSW, LADC
Clinical Social Worker
NPI 1073531133
1825 BARNUM AVE SUITE #304
Stratford, CT 06614
(203) 375-5782
✔ PECOSSame 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 Personal Growth Concepts, Inc.'s NPI number?

The NPI number for Personal Growth Concepts, Inc. is 1104850353. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Personal Growth Concepts, Inc. located?

Personal Growth Concepts, Inc. is located at 1825 Barnum Ave Suite 304, Stratford, CT 06614. The listed phone number is (203) 375-5782.

What is Personal Growth Concepts, Inc.'s specialty?

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

Is Personal Growth Concepts, Inc. enrolled in Medicare?

Yes. Personal Growth Concepts, Inc. is registered in the Medicare PECOS enrollment system.

When is Personal Growth Concepts, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Personal Growth Concepts, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Personal Growth Concepts, Inc.. 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 Personal Growth Concepts, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Personal Growth Concepts, Inc. 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 Personal Growth Concepts, Inc. was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.