Nicole Leann Merlo-White, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001029 Issued in CT

Practice address

146 Gillies LN
Norwalk, CT 06854-1009

Phone

(203) 209-1883

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nicole Leann Merlo Former name

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Marriage and Family Therapist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Directions - the Center for Prevention and Counseling IncGroup PAC ID 6406109800, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Positive Directions - the Center for Prevention and Counseling Inc

  • Community/Behavioral Health Agency
  • Westport, CT
  • NPI 1043455066
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, Marriage & Family Therapist, NY

  Medicare reassignment NPD
• Positive Directions - the Center for Prevention and Counseling Inc

  • Community/Behavioral Health Agency
  • Westport, CT
  • NPI 1629217286
  NPD (past)
• Positive Directions - the Center for Prevention and Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westport, CT
  • NPI 1629126875
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1053488577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 GILLIES LN",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541009",
            "telephone_number": "203-209-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 GILLIES LN",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541009",
            "telephone_number": "203-209-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Post Rd W",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068804744",
            "country_code": "US",
            "telephone_number": "203-227-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERLO-WHITE",
        "first_name": "NICOLE",
        "middle_name": "LEANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "410001029CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "286914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MERLO",
            "middle_name": "LEANN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Mendoza, PA-C
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• Marisa Rose Mercuri, SLP/TSSLD
• Antonia Mercurio
• Merritt Chiropractic Center L.L.C.
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• Alissa Stacey Merzon, DC
• Alyssia Metellus
• Jacquelyn A Meyer, APRN

• Marriage & Family Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.