Keyra Scovill, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6310 Issued in CT

Practice address

2 Wellesley Dr
Branford, CT 06405-3266

Phone

(203) 589-3308

NPI assigned

Feb 18, 2021

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fair Haven Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1104803444
  Medicare reassignment NPD
• Fair Haven Community Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Branford, CT
  • NPI 1447767934
  NPD
• Fair Haven Community Health Clinic, Inc

  dba Grand Pharmacy

  • Community/Retail Pharmacy
  • Branford, CT
  • NPI 1760051486
  NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1235722315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WELLESLEY DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053266",
            "telephone_number": "203-589-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WELLESLEY DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053266",
            "telephone_number": "203-589-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILL",
        "first_name": "KEYRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Schenck, NP
• Dana Ann Schmidt, R.N., IBCLC
• Benjamin Schreiber, LCSW
• Glenn David Schulman, PHARMD
• Claire M Scola, LCSW, LADC
• Seaside Counseling LLC
• Sebastian a. Perumbilly PHD
• Raymond Charles Seligson, MD
• Sema4 Opco, Inc
• Claudia V Sepot, APRN

• Professional Counselor in Branford, CT
• Providers in Branford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.