Undivided Soul LLC
NPI 1558809178 · Professional Counselor · Watertown, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Undivided Soul LLC is a Professional Counselor organization in Watertown, CT (NPI 1558809178).
Provider details
- NPI number
- 1558809178
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kathryn Gelinas, Licensed Professional Counselor(203) 697-8983
- License
- 3103 (CT)
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 26 Lakeview DrBethlehem, CT 06751-1311Phone: (203) 697-8983Fax: (844) 436-9123
- 969 W Main St Ste 2gWaterbury, CT 06708-2666Phone: (203) 697-8983
Registry dates
- Enumerated
- 2017-02-02
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Undivided Soul LLC's NPI number?
- Undivided Soul LLC's National Provider Identifier (NPI) is 1558809178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Undivided Soul LLC?
- Undivided Soul LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Undivided Soul LLC located?
- Undivided Soul LLC's practice location on file with NPPES is 27 Siemon Company Dr Ste 315w, Watertown, CT 06795-2654.
- What is Undivided Soul LLC's phone number?
- The practice phone number listed in the NPPES registry for Undivided Soul LLC is (203) 697-8983.
- Does Undivided Soul LLC accept Medicare?
- Undivided Soul LLC 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 Undivided Soul LLC?
- The authorized official listed on Undivided Soul LLC's NPPES record is Kathryn Gelinas, Licensed Professional Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Undivided Soul LLC's NPI active?
- Yes — Undivided Soul LLC's NPI (1558809178) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.