Individual provider Active NPI

William Earl Ezzelle, LPC

  • Mental Health Counselor
  • Stamford, CT
National Provider Identifier
1013438555
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6632 Issued in CT
Practice address
60 Palmers Hill Rd
Stamford, CT 06902-2113
Phone
(203) 614-9942
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78816 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000610 VA
Mental Health Counselor 101YM0800X 37PC00934800 NJ
Mental Health Counselor 101YM0800X 6632 CT Primary
Mental Health Counselor 101YM0800X 017135 NY
Professional Counselor 101YP2500X 37PC00934800 VA
Mental Health Counselor 101YM0800X 0701010791 VA
Professional Counselor 101YP2500X 0701010791 VA
Professional Counselor 101YP2500X 6632 CT
Professional Counselor 101YP2500X 78816 TX

Addresses

Primary practice location

60 Palmers Hill Rd
Stamford, CT 06902-2113

Mailing address

150 Southfield Ave Apt 2120
Stamford, CT 06902-7764
Phone (276) 415-0739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612002280 CT Practitioner - Mental Health Counselor 1658813159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Centers IncGroup PAC ID 6507753324, 5 clinicians

Practice addresses (Care Compare)

20 Bridge St
Greenwich, CT 06830-5238
Phone (203) 629-2822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0718000610VAMDAddiction (Substance Use Disorder) Counselor
6632CTMDMental Health Counselor
37PC00934800NJMDMental Health Counselor
78816TXMDMental Health Counselor
0701010791VAMDMental Health Counselor
37PC00934800VAMDProfessional Counselor
017135NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centers Inc. CurrentSince May 22, 2024 Accepting new patients
Family Centers Inc CurrentSince May 22, 2024 Accepting new patients
Family Centers Inc Current Accepting new patients

Locations

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

986 Bedford St
Stamford, CT 06905
Phone (203) 324-3167

60 Palmers Hill Rd
Stamford, CT 06902
Phone (203) 324-3167

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1013438555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTHFIELD AVE APT 2120",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027764",
            "telephone_number": "276-415-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PALMERS HILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022113",
            "telephone_number": "203-614-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZELLE",
        "first_name": "WILLIAM",
        "middle_name": "EARL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78816",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000610",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00934800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "6632",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017135",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "37PC00934800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010791",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010791",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6632",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.