Individual provider Active NPI

Joyce Gendler, LPC, REAT, NCC

  • Professional Counselor
  • Madison, CT
National Provider Identifier
1093470387
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5073 Issued in CT
Practice address
10 School St
Madison, CT 06443-3033
Phone
(203) 245-5645
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5073 CT Primary

Addresses

Primary practice location

10 School St
Madison, CT 06443-3033

Mailing address

227 Mungertown Rd
Madison, CT 06443-1935
Phone (240) 731-8968

Other practice location 1

227 Mungertown Rd
Madison, CT 06443-1935
Phone (240) 731-8968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 30, 2024 through Sep 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Madison CurrentSince Nov 9, 2021 Accepting new patients
Barbara L Baycroft Professional PastSince Nov 9, 2021 Accepting new patients

Locations

10 School St
Madison, CT 06443
Phone (203) 245-5645

Organizations & group practices 2

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1093470387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MUNGERTOWN RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431935",
            "telephone_number": "240-731-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SCHOOL ST",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433033",
            "telephone_number": "203-245-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Mungertown Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064431935",
            "country_code": "US",
            "telephone_number": "240-731-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENDLER",
        "first_name": "JOYCE",
        "credential": "LPC, REAT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.