HEALING SPACE
NPI 1417690579
Counselor in Bristol, CT

Active since April 17, 2022
123 FARMINGTON AVE STE 156, BRISTOL, CT 06010(203) 208-8372 Get Directions Write a Review

NPPES record last updated: April 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Healing Space NPPES

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

HEALING SPACE (NPI 1417690579) is a healthcare organization registered as a counselor in Bristol, Connecticut and active in the NPI registry since April 2022. The organization lists Anthony Joseph Nave, Owner, as its authorized official.

NPPES Registry Identity

NPI1417690579
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameHEALING SPACE
Location Address123 FARMINGTON AVE STE 156Bristol, CT 06010-4200
Mailing Address123 Farmington Ave Ste 156Bristol, CT 06010-4200 · (203) 208-8372
Organization SubpartNo
Authorized OfficialAnthony Joseph NaveOwner · (860) 480-0006
Enumeration DateApril 17, 2022
NPPES CertifiedApril 17, 2022
✔ NPI 1417690579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
123 FARMINGTON AVE STE 156, Bristol, CT 06010

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healing Space is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Healing Space, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1902445505
680 MAIN ST STE 305
Watertown, CT 06795
(203) 707-8962
✔ PECOS11 mi
Clinical Social Worker
NPI 1992274427
187 S CANAAN RD
Canaan, CT 06018
(860) 824-1397
✔ PECOS30 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 Healing Space's NPI number?

The NPI number for Healing Space is 1417690579. It was assigned to this organization in the NPPES registry on April 17, 2022.

Where is Healing Space located?

Healing Space is located at 123 Farmington Ave Ste 156, Bristol, CT 06010. The listed phone number is (203) 208-8372.

What is Healing Space's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Healing Space enrolled in Medicare?

Yes. Healing Space is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Space?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Healing Space, in Clinical Social Worker and Mental Health Counselor. 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 Healing Space accept?

Health plans from Anthem Blue Cross and Blue Shield list Healing Space 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 Healing Space was last updated on April 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.