FIRST LIGHT COLLECTIVE INCORPORATED
NPI 1609665520
Community/Behavioral Health in Manchester, CT

Active since May 06, 2025
28 KENSINGTON ST, MANCHESTER, CT 06040(860) 648-3592 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, May 6, 2025 (2 updates tracked since 2025).

About First Light Collective Incorporated NPPES

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

FIRST LIGHT COLLECTIVE INCORPORATED (NPI 1609665520) is a healthcare organization registered as a community/behavioral health in Manchester, Connecticut and active in the NPI registry since May 2025. The organization lists Azaria Drakeford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609665520
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFIRST LIGHT COLLECTIVE INCORPORATED
Location Address28 KENSINGTON STManchester, CT 06040-5422
Mailing Address28 Kensington StManchester, CT 06040-5422
Organization SubpartNo
Authorized OfficialAzaria DrakefordCeo · (860) 682-3358
Enumeration DateMay 6, 2025
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1609665520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedCounselorTaxonomy 101Y00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
28 KENSINGTON ST, Manchester, CT 06040

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)

First Light Collective Incorporated 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 First Light Collective Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1447723739
341 E CENTER ST # 132
Manchester, CT 06040
(860) 648-3592
✔ PECOS0.3 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 First Light Collective Incorporated's NPI number?

The NPI number for First Light Collective Incorporated is 1609665520. It was assigned to this organization in the NPPES registry on May 6, 2025.

Where is First Light Collective Incorporated located?

First Light Collective Incorporated is located at 28 Kensington St, Manchester, CT 06040. The listed phone number is (860) 648-3592.

What is First Light Collective Incorporated's specialty?

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

Is First Light Collective Incorporated enrolled in Medicare?

Yes. First Light Collective Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Light Collective Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to First Light Collective Incorporated. 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 First Light Collective Incorporated accept?

Health plans from WellSense Health Plan list First Light Collective Incorporated 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 First Light Collective Incorporated was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.