JEFFREY WIDEM
NPI 1669064242
Counselor in Manchester, CT

Active since February 05, 2021
444 CENTER ST, MANCHESTER, CT 06040(860) 646-3888(860) 731-5536 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Widem NPPES

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

JEFFREY WIDEM (NPI 1669064242) is an individual counselor in Manchester, Connecticut and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1669064242
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEFFREY WIDEM
Location Address444 CENTER STManchester, CT 06040-3926
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateFebruary 5, 2021
NPPES CertifiedFebruary 5, 2021
NPI 1669064242 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.

444 CENTER ST, Manchester, CT 06040

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040

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 Jeffrey Widem's NPI number?

The NPI number for Jeffrey Widem is 1669064242. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Jeffrey Widem located?

Jeffrey Widem practices at 444 Center St, Manchester, CT 06040. The listed phone number is (860) 646-3888.

What is Jeffrey Widem's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Widem was last updated on February 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.