UNDIVIDED SOUL LLC
NPI 1558809178
Counselor - Professional in Watertown, CT
About Undivided Soul Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNDIVIDED SOUL LLC (NPI 1558809178) is a healthcare organization registered as a professional in Watertown, Connecticut and active in the NPI registry since February 2017. The organization maintains 2 additional practice locations and lists Kathryn Gelinas, Licensed Professional Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Undivided Soul 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 Undivided Soul LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Undivided Soul LLC's NPI number?
The NPI number for Undivided Soul LLC is 1558809178. It was assigned to this organization in the NPPES registry on February 2, 2017.
Where is Undivided Soul LLC located?
Undivided Soul LLC is located at 27 Siemon Company Dr Ste 315W, Watertown, CT 06795. The listed phone number is (203) 697-8983.
What is Undivided Soul LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Undivided Soul LLC enrolled in Medicare?
Yes. Undivided Soul LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Undivided Soul LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Undivided Soul 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 Undivided Soul LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Undivided Soul Llc · NPI 1558809178
Professional organization in Watertown, Connecticut. Organization record, active in the CMS NPPES registry since February 2, 2017.
## Identity
- **NPI:** 1558809178 (Entity type: Organization)
- **Enumerated:** February 2, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Kathryn Gelinas, LICENSED PROFESSIONAL COUNSELOR
## Practice location
- **Address:** 27 SIEMON COMPANY DR STE 315W, Watertown, CT 06795-2654
- **Phone:** (203) 697-8983 · **Fax:** (844) 436-9123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558809178) · Data from the CMS NPPES public registry.