Active NPI
Chelsey Micciche
- Professional Counselor
- Glastonbury, CT
National Provider Identifier
1013311554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5020
- Practice address
- 33 Pratt St
Glastonbury, CT 06033-1014 - Phone
- (860) 946-0447
- Fax
- (860) 430-6861
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | ||
| Professional Counselor | 101YP2500X | 5020 | CT | Primary |
Addresses
Primary practice location
33 Pratt St
Glastonbury, CT 06033-1014
Mailing address
34 Murray Street
Waterbury, CT 06710
Phone (203) 756-8317
Other practice location 1
34 Murray Street
Waterbury, CT 06710
Phone (203) 756-8317
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.hopewellhealthsolutions | Health Information Exchange (HIE) | Hopewell Health Solutions, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1013311554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MURRAY STREET",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06710",
"telephone_number": "203-756-8317",
"fax_number": "203-756-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 PRATT ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331014",
"telephone_number": "860-946-0447",
"fax_number": "860-430-6861"
}
],
"practiceLocations": [
{
"address_1": "34 Murray Street",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "06710",
"country_code": "US",
"telephone_number": "203-756-8317",
"fax_number": "203-756-8310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICCICHE",
"first_name": "CHELSEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "5020",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.hopewellhealthsolutions",
"affiliation": "Y",
"affiliationName": "Hopewell Health Solutions, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "33 Pratt St",
"city": "Glastonbury",
"state": "CT",
"country_code": "US",
"postal_code": "060331014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.