Authentic-Self Counseling, LLC
NPI 1679229769ActiveOrganization· Social Worker, Clinical· West Simsbury, CT
Social Worker, Clinical in West Simsbury, Connecticut, registered in NPPES in February 2022. The authorized official on file is Susan Carol Eisenberg, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679229769 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2022 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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