Jeremy M Barbagallo, LPC

Individual provider Active NPI Professional Counselor · West Hartford, CT

NPI 1164520151 · NPPES record last updated Sep 5, 2026

Key facts

NPI
1164520151
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
001248 (CT)
Practice address
160 Overbrook Rd
West Hartford, CT 06107-3764
Phone
(860) 882-2040
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
001248CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001248 CT Yes

Addresses

Primary practice location

160 Overbrook Rd
West Hartford, CT 06107-3764

Mailing address

160 Overbrook Rd
West Hartford, CT 06107-3764
Phone (860) 882-2040

Other providers in West Hartford, CT

All providers in West Hartford, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.