Individual provider Active NPI

Danielle Dipisa, LPC

  • Professional Counselor
  • Brookfield, CT
National Provider Identifier
1245707199
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3549 Issued in CT
Practice address
67 Federal Rd Ste 201
Building a, Suite 201
Brookfield, CT 06804-2541
Phone
(860) 317-6005
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3549 CT Primary

Addresses

Primary practice location

67 Federal Rd Ste 201
Building a, Suite 201
Brookfield, CT 06804-2541

Mailing address

67 Federal Rd Ste 201
Brookfield, CT 06804-2541
Phone (860) 317-6005

Other names 1

  • Danielle Dolan Former name

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
I20251120000654 CT Practitioner - Mental Health Counselor 9739671504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

67 Federal Rd
Suite 201
Brookfield, CT 06804-2541
Phone (860) 317-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3549CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Minds and Motion Wellness LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

67 Federal Rd
Ste 201
Brookfield, CT 06804
Phone (203) 832-0277

Organizations & group practices 1

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1245707199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 FEDERAL RD STE 201",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042541",
            "telephone_number": "860-317-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 FEDERAL RD STE 201",
            "address_2": "BUILDING A, SUITE 201",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042541",
            "telephone_number": "860-317-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPISA",
        "first_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DOLAN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.