Ayan Mohamed Dirir, LPC, LCPC
Individual provider Active NPI Professional Counselor · Middlebury, CT
NPI 1245696111 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1245696111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP6498 (MD)
- Practice address
- 2030 Straits Tpke
Middlebury, CT 06762-1831 - Phone
- (203) 558-1143
- Fax
- (203) 490-4244
- NPI assigned
- Jan 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP6498 | MD | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP6498 | MD | Yes |
Addresses
Primary practice location
2030 Straits Tpke
Middlebury, CT 06762-1831
Mailing address
3 Murthas Way Apt 135
Granby, CT 06035-2645
Phone (240) 390-6320
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.