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SOUL FRIENDS, INC
NPI 1154499804
Community/Behavioral Health in Wallingford, CT

Active since December 01, 2006
300 CHURCH ST, SUITE 105, WALLINGFORD, CT 06492(203) 679-0849 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Soul Friends, Inc NPPES

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

SOUL FRIENDS, INC (NPI 1154499804) is a healthcare organization registered as a community/behavioral health in Wallingford, Connecticut and active in the NPI registry since December 2006. The organization lists M. Kathryn Nicoll, President, as its authorized official.

NPPES Registry Identity

NPI1154499804
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUL FRIENDS, INC
Location Address300 CHURCH ST, SUITE 105Wallingford, CT 06492-2253
Mailing Address300 Church St, Suite 105Wallingford, CT 06492-2253 · (203) 679-0849
Phone(203) 679-0849
Organization SubpartNo
Authorized OfficialM. Kathryn NicollPresident · (203) 679-0849
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 8, 2014
✔ NPI 1154499804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 002617 (CT)
300 CHURCH ST, Wallingford, CT 06492
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soul Friends, Inc 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 Soul Friends, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Kathryn Nicoll, LCSW
Clinical Social Worker
NPI 1376664722
300 CHURCH ST STE 105
Yalesville, CT 06492
(203) 679-0849
✔ PECOS0.1 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 Soul Friends, Inc's NPI number?

The NPI number for Soul Friends, Inc is 1154499804. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Soul Friends, Inc located?

Soul Friends, Inc is located at 300 Church St Suite 105, Wallingford, CT 06492. The listed phone number is (203) 679-0849.

What is Soul Friends, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Soul Friends, Inc enrolled in Medicare?

Yes. Soul Friends, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soul Friends, Inc?

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

Health plans from Anthem Blue Cross and Blue Shield list Soul Friends, 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 Soul Friends, Inc was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.