Organization Active NPI

Premier Counseling Services LLC

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1013652064
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PREMIER COUNSELING SERVICES LLC
Practice address
57 Plains Rd Ste 1E
Milford, CT 06461-2573
Phone
(203) 444-2565
Fax
(203) 306-3242
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Melissa Ellen Flynn
Title
Clinical Social Worker, Owner
Phone
(203) 444-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

57 Plains Rd Ste 1E
Milford, CT 06461-2573

Mailing address

55 Chestnut LN
Milford, CT 06461-1861
Phone (203) 444-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260313001959 CT Part B Supplier - Clinic/Group Practice 5698258093 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, CT

National Provider Directory

National Provider Directory

Locations

57 Plains Rd
Ste 2A
Milford, CT 06461
Phone (203) 444-2565

57 Plains Rd
Ste 1E
Milford, CT 06461
Phone (203) 500-8339

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1013652064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHESTNUT LN",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611861",
            "telephone_number": "203-444-2565",
            "fax_number": "203-306-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD STE 1E",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612573",
            "telephone_number": "203-444-2565",
            "fax_number": "203-306-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER, OWNER",
        "authorized_official_telephone_number": "203-444-2565"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.