IndividualActive
Jeffrey Widem
NPI 1669064242 · Counselor · Manchester, CT
Jeffrey Widem is a Counselor provider in Manchester, CT (NPI 1669064242).
Provider details
- NPI number
- 1669064242
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% 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
444 Center St
Manchester, CT 06040-3926
Phone: (860) 646-3888
Fax: (860) 731-5536
Street-level locationGet directions
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Registry dates
- Enumerated
- 2021-02-05
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Frequently asked questions
- What is Jeffrey Widem's NPI number?
- Jeffrey Widem's National Provider Identifier (NPI) is 1669064242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Widem's specialty?
- Jeffrey Widem is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jeffrey Widem located?
- Jeffrey Widem's practice location on file with NPPES is 444 Center St, Manchester, CT 06040-3926.
- What is Jeffrey Widem's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Widem is (860) 646-3888.
- Is Jeffrey Widem's NPI active?
- Yes — Jeffrey Widem's NPI (1669064242) is active in the NPPES registry as of the last update on 2021-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.