Organization Active NPI

Integrity Mental Health, LLC

  • Professional Counselor
  • Trumbull, CT
National Provider Identifier
1104591866
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INTEGRITY MENTAL HEALTH, LLC
Practice address
935 White Plains Rd Ste 203C
Trumbull, CT 06611-4547
Phone
(203) 526-9196
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Melissa Martinez, LPCNPI 1053899021
Title
Licensed Professional Counselor
Phone
(203) 526-9196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

935 White Plains Rd Ste 203C
Trumbull, CT 06611-4547

Mailing address

935 White Plains Rd Ste 203C
Trumbull, CT 06611-4547
Phone (203) 526-9196

Other names 1

  • Integrity Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209001457 CT Part B Supplier - Clinic/Group Practice 8921534371 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeport, CT; Trumbull, CT

National Provider Directory

National Provider Directory

Locations

935 White Plains Rd
Ste 203C
Trumbull, CT 06611
Phone (203) 526-9196

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1104591866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WHITE PLAINS RD STE 203C",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114547",
            "telephone_number": "203-526-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WHITE PLAINS RD STE 203C",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114547",
            "telephone_number": "203-526-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "203-526-9196",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrity Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.