Active NPI
Nicholas Mark Iamele, LPCA
- Counselor
- North Haven, CT
National Provider Identifier
1215616008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6397
- Practice address
- 5 Linsley St
North Haven, CT 06473-2505 - Phone
- (203) 239-5321
- Fax
- (203) 234-3942
- NPI assigned
- Jul 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6397 | CT | Primary |
Addresses
Primary practice location
5 Linsley St
North Haven, CT 06473-2505
Mailing address
22 Cowpen Rd
West Haven, CT 06516-6635
Phone (203) 937-0207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6397 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1215616008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 COWPEN RD",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065166635",
"telephone_number": "203-937-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LINSLEY ST",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732505",
"telephone_number": "203-239-5321",
"fax_number": "203-234-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IAMELE",
"first_name": "NICHOLAS",
"middle_name": "MARK",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "6397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.