Jordan Sileo Wasik, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3093 Issued in CT

Practice address

191 Albany Tpke Ste 307
Canton, CT 06019-2554

Phone

(860) 461-9914

NPI assigned

Apr 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.wasik.p1@direct.wheelerclinic.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BEJCDD/Endpoint/BEJCDD

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.

• Retrieving Positivity, LLC

  • Mental Health Counselor
  • Canton, CT
  • NPI 1922566835
  NPD Authorized official

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1144607367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97B DYER AVE",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193233",
            "telephone_number": "860-384-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ALBANY TPKE STE 307",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192554",
            "telephone_number": "860-461-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIK",
        "first_name": "JORDAN",
        "middle_name": "SILEO",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Varholak, APRN
• Robin L Verrone, LPC
• Walgreen Co
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• Warby Parker Inc.
• Paula M Webster, PT
• Samantha Weinstein, DPT
• Jennifer Wild, M.A., CRC
• Willow Tree Psychotherapy

• Mental Health Counselor in Canton, CT
• Providers in Canton, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.