Individual provider Active NPI

Ginelle L Carsillo, LPC

  • Professional Counselor
  • Stamford, CT
National Provider Identifier
1053569038
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2800 Issued in CT
Practice address
141 Franklin St
Stamford, CT 06901-1014
Phone
(203) 969-0802
NPI assigned
Sep 3, 2008
Last updated
Nov 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 2800 CT Primary

Addresses

Primary practice location

141 Franklin St
Stamford, CT 06901-1014

Mailing address

141 Franklin St
Stamford, CT 06901-1014
Phone (203) 969-0802

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
I20240111003481 CT Order and Referring Only - Mental Health Counselor 4880043181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ginelle.carsillo@chcict.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1053569038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011014",
            "telephone_number": "203-969-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011014",
            "telephone_number": "203-969-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSILLO",
        "first_name": "GINELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.