Individual provider Active NPI

Mariska Jen Miessler

  • Mental Health Counselor
  • Shelton, CT
National Provider Identifier
1174486864
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9182 Issued in CT
Practice address
2 Corporate Dr Ste 950
Shelton, CT 06484-6246
Phone
(203) 293-0224
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9182 CT Primary

Addresses

Primary practice location

2 Corporate Dr Ste 950
Shelton, CT 06484-6246

Mailing address

363 Summerfield GDNS
Shelton, CT 06484-6306
Phone (562) 477-4952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202001927 CT Practitioner - Mental Health Counselor 1456839364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mja Behavioral Health and WellnessGroup PAC ID 8820441264, 12 clinicians

Practice addresses (Care Compare)

2 Corporate Dr
Suite 950
Shelton, CT 06484-6246
Phone (203) 200-0617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9182CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
M.J.a. Behavioral Health and Wellness CurrentSince Dec 29, 2025 Accepting new patients
Themindfullcup, LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

111 Beach Rd
Ste 350
Fairfield, CT 06824
Phone (203) 293-0224

2 Corporate Dr
Ste 950
Shelton, CT 06484
Phone (203) 200-0617

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": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1174486864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 SUMMERFIELD GDNS",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846306",
            "telephone_number": "562-477-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR STE 950",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846246",
            "telephone_number": "203-293-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESSLER",
        "first_name": "MARISKA",
        "middle_name": "JEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "9182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.