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CLINICAL WEIGHT LOSS & WELLNESS LLC
NPI 1265990030
Dietitian, Registered in Glastonbury, CT

Active since March 11, 2019
2790 MAIN ST, GLASTONBURY, CT 06033(860) 430-9922(860) 633-9922 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2020, Mar 11, 2019 (2 updates tracked since 2019).

About Clinical Weight Loss & Wellness Llc NPPES

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

CLINICAL WEIGHT LOSS & WELLNESS LLC (NPI 1265990030) is a healthcare organization registered as a dietitian, registered in Glastonbury, Connecticut and active in the NPI registry since March 2019. The organization lists Jeannie Marie Leitao, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1265990030
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameCLINICAL WEIGHT LOSS & WELLNESS LLC
Location Address2790 MAIN STGlastonbury, CT 06033-2027
Mailing Address2790 Main StGlastonbury, CT 06033-2027 · (860) 430-9922
Phone(860) 430-9922
Fax(860) 633-9922
Organization SubpartNo
Authorized OfficialJeannie Marie LeitaoOwner/ceo · (860) 430-9922
Enumeration DateMarch 11, 2019
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1265990030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2790 MAIN ST, 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 MULTIPLE 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)

Clinical Weight Loss & Wellness 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 Clinical Weight Loss & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeannie Leitao, RD
Registered Dietitian or Nutrition Professional
NPI 1598094963
2790 MAIN ST
Glastonbury, CT 06033
(860) 430-9922
✔ 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 Clinical Weight Loss & Wellness LLC's NPI number?

The NPI number for Clinical Weight Loss & Wellness LLC is 1265990030. It was assigned to this organization in the NPPES registry on March 11, 2019.

Where is Clinical Weight Loss & Wellness LLC located?

Clinical Weight Loss & Wellness LLC is located at 2790 Main St, Glastonbury, CT 06033. The listed phone number is (860) 430-9922.

What is Clinical Weight Loss & Wellness LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Clinical Weight Loss & Wellness LLC enrolled in Medicare?

Yes. Clinical Weight Loss & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinical Weight Loss & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Clinical Weight Loss & Wellness 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.

What insurance does Clinical Weight Loss & Wellness LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Clinical Weight Loss & Wellness LLC 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 Clinical Weight Loss & Wellness LLC was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.