Healing Space
NPI 1417690579 · Counselor · Bristol, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healing Space is a Counselor organization in Bristol, CT (NPI 1417690579).
Provider details
- NPI number
- 1417690579
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Nave, Owner(860) 480-0006
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-04-17
- Last updated
- 2022-04-17
- Certified
- 2022-04-17
Frequently asked questions
- What is Healing Space's NPI number?
- Healing Space's National Provider Identifier (NPI) is 1417690579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healing Space?
- Healing Space is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Healing Space located?
- Healing Space's practice location on file with NPPES is 123 Farmington Ave Ste 156, Bristol, CT 06010-4200.
- What is Healing Space's phone number?
- The practice phone number listed in the NPPES registry for Healing Space is (203) 208-8372.
- Does Healing Space accept Medicare?
- Healing Space is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Healing Space?
- The authorized official listed on Healing Space's NPPES record is Anthony Nave, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healing Space's NPI active?
- Yes — Healing Space's NPI (1417690579) is active in the NPPES registry as of the last update on 2022-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.