OrganizationActive
Mindscapes Counseling PLLC
NPI 1295130581 · Clinical Social Worker · Waterbury, CT
Provider details
- NPI number
- 1295130581
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Parent organization
- Refresh Mental Health
- Organization subpart
- Yes
- Authorized official
- Elliot Richelson, President, Secretary, and Treasurer(904) 605-4986
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
230 Frost Rd Unit B
Waterbury, CT 06705-2154
Phone: (203) 819-0789
Street-level locationGet directions
Mailing address
230 Frost Rd Unit B
Waterbury, CT 06705-2154
Other names (DBA / former)
- Doing business as
- Tides of Mind Counseling
Registry dates
- Enumerated
- 2014-10-29
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.