Healthcare Provider Details

I. General information

NPI: 1063846277
Provider Name (Legal Business Name): GREENWOODS COUNSELING REFERRALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SOUTH ST
LITCHFIELD CT
06759-4005
US

IV. Provider business mailing address

PO BOX 1549 21 SOUTH STREET
LITCHFIELD CT
06759-1549
US

V. Phone/Fax

Practice location:
  • Phone: 860-567-7724
  • Fax: 860-567-0300
Mailing address:
  • Phone: 860-567-7724
  • Fax: 860-567-0300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number000840
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number000840
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOHN WEDGE SIMONCELLI
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 860-605-7416