Active NPI
Danielle Montemerlo, LPC
- Professional Counselor
- Swansea, MA
National Provider Identifier
1104352236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3807
- Practice address
- 463 Swansea Mall Dr
Swansea, MA 02777-4119 - Phone
- (508) 324-4202
- NPI assigned
- May 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | 3807 | CT | Primary |
Addresses
Primary practice location
463 Swansea Mall Dr
Swansea, MA 02777-4119
Mailing address
567 Vauxhall Street Ext Ste 207
Waterford, CT 06385-4332
Phone (860) 501-9771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3807 | Other | CT | LICENSED PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| 3807 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1104352236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 VAUXHALL STREET EXT STE 207",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063854332",
"telephone_number": "860-501-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 SWANSEA MALL DR",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774119",
"telephone_number": "508-324-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEMERLO",
"first_name": "DANIELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-10",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "3807",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.