Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Grant

Individual provider Professional Counselor · NPI 1922880988

Nicole Grant is a Mental Health Counselor in Waterbury, Connecticut. Qualified in 2023, 3 years ago. Practices with Wheeler Clinic Inc, a 104-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023

Practice location Address checks out

855 Lakewood Rd
Waterbury, CT 06704-5408
Phone: (888) 793-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9194 (CT)

Record details

NPI number1922880988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wheeler Clinic Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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