Individual provider Active NPI

Danielle Justine-Corsaro Hayden, LPC

  • Professional Counselor
  • Leonardtown, MD
National Provider Identifier
1255712220
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006643 Issued in CT
Practice address
41900 Fenwick St Ste 1
Leonardtown, MD 20650-3815
Phone
(607) 215-1339
NPI assigned
Jun 15, 2015
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17269 FL
Mental Health Counselor 101YM0800X LC10424 MD
Professional Counselor 101YP2500X 006643 CT Primary

Addresses

Primary practice location

41900 Fenwick St Ste 1
Leonardtown, MD 20650-3815

Mailing address

7 Kensington LN Unit 104
Rocky Hill, CT 06067-3646
Phone (607) 215-1339

Other names 1

  • Miss Danielle Justine Corsaro Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17269FLMDMental Health Counselor
LC10424MDMDMental Health Counselor
006643CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1255712220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KENSINGTON LN UNIT 104",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673646",
            "telephone_number": "607-215-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST STE 1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503815",
            "telephone_number": "607-215-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "DANIELLE",
        "middle_name": "JUSTINE-CORSARO",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17269",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10424",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "006643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CORSARO",
            "middle_name": "JUSTINE",
            "prefix": "MISS",
            "credential": "LMHC/LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.