IndividualActive
Chanell Mundell, LPCA
NPI 1790463305 · Professional Counselor · Willimantic, CT
Provider details
- NPI number
- 1790463305
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1310 Main St
Willimantic, CT 06226-1910
Phone: (860) 731-5522
Fax: (860) 731-5536
Street-level locationGet directions
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.