AMANDA GIONFRIDDO – Counselor, NPI 1639761836

AMANDA GIONFRIDDO is a healthcare provider. based in Wethersfield, Connecticut. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for AMANDA GIONFRIDDO is 1639761836

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA GIONFRIDDO
NPI
1639761836
Phone
(860) 837-0401
Address
1177 SILAS DEANE HWY
Enumeration Date
9 February 2021
Last Update Date
20 February 2023

Doctor Profile

Medical School Name
MARYMOUNT UNIVERSITY
Secondary Phone
8604022825
Graduation Year
2021 (5 years ago)
PAC ID
9133567381
Group Practice PAC ID
3375933658
Professional Enrollment ID
I20240405003288
Address ID
CT060423581MA200XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

Provider Addresses for AMANDA GIONFRIDDO

  • 1177 SILAS DEANE HWY

    FL 3

    WETHERSFIELD, CT 06109

    Phone: (860) 837-0401

    Type: Location

  • 175 BURR RD

    HIGGANUM, CT 064414456

    Phone: (860) 878-4300

    Type: Mailing

  • 91 NORTHWEST DR

    PLAINVILLE, CT 060621552

    Phone: (860) 793-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240405003288IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375933658View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT

Reviews

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Frequently asked questions

Can I use this page to confirm AMANDA GIONFRIDDO's NPI?
Yes. AMANDA GIONFRIDDO is listed with NPI 1639761836 in the public NPI dataset.
Does the file indicate AMANDA GIONFRIDDO is practicing under active NPI?
Directory data currently reports AMANDA GIONFRIDDO as active.
What is AMANDA GIONFRIDDO's primary classification?
Counselor is the headline specialty for AMANDA GIONFRIDDO here. Clinical services aligned with this taxonomy classification.
What area does AMANDA GIONFRIDDO serve?
AMANDA GIONFRIDDO's listing highlights Wethersfield, Connecticut; more addresses can appear in NPPES.
Why does AMANDA GIONFRIDDO have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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