Active NPI
Jessica Lynch
- Counselor
- Brookfield, CT
National Provider Identifier
1063254340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8864
- Practice address
- 67 Federal Rd Ste 203
Brookfield, CT 06804-2539 - Phone
- (860) 946-4358
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8864 | CT | Primary |
Addresses
Primary practice location
67 Federal Rd Ste 203
Brookfield, CT 06804-2539
Mailing address
508 Litchfield Rd
New Milford, CT 06776-2009
Other practice location 1
508 Litchfield Rd
New Milford, CT 06776-2009
Phone (203) 917-1333
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 |
|---|---|---|---|
| 8864 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Lynch Therapy | Current | Accepting new patients |
Locations
67 Federal Rd
Ste 203
Brookfield, CT 06804
Phone (860) 946-4358
Organizations & group practices 1
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.
-
- Professional Counselor
- Brookfield, CT
- NPI 1154201358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1063254340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 LITCHFIELD RD",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 FEDERAL RD STE 203",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042539",
"telephone_number": "860-946-4358"
}
],
"practiceLocations": [
{
"address_1": "508 Litchfield Rd",
"address_purpose": "LOCATION",
"city": "New Milford",
"state": "CT",
"postal_code": "067762009",
"country_code": "US",
"telephone_number": "203-917-1333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "8864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.