Active NPI
Dana Decillis, MA, LMHC, LPC
- Professional Counselor
- Vernon, CT
National Provider Identifier
1215050141
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1596
- Practice address
- 27 Naek Road
Vernon, CT 06066 - Phone
- (413) 537-4284
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1596 | CT | Primary |
| Mental Health Counselor | 101YM0800X | 5595 | MA |
Addresses
Primary practice location
27 Naek Road
Vernon, CT 06066
Mailing address
25 South View Drive
Southwick, MA 01077
Phone (413) 537-4284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300881 | Medicaid | MA | |
| 0300010 | Other | MA | MBHP |
Other names 1
- Ms. Dana Tomassi
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1596 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1215050141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 SOUTH VIEW DRIVE",
"city": "SOUTHWICK",
"state": "MA",
"postal_code": "01077",
"telephone_number": "413-537-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 NAEK ROAD",
"city": "VERNON",
"state": "CT",
"postal_code": "06066",
"telephone_number": "413-537-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECILLIS",
"first_name": "DANA",
"name_prefix": "Ms.",
"credential": "MA, LMHC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "1596",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5595",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300881",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "0300010",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "TOMASSI",
"prefix": "MS.",
"credential": "MA, LMHC, LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.