Individual provider Active NPI

Karie Decicco

  • Professional Counselor
  • Naugatuck, CT
National Provider Identifier
1265095616
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
16 Hillside Ave
Naugatuck, CT 06770-4019
Phone
(203) 729-0341
NPI assigned
Apr 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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 Primary

Addresses

Primary practice location

16 Hillside Ave
Naugatuck, CT 06770-4019

Mailing address

16 Hillside Ave
Naugatuck, CT 06770-4019

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
I20240325002718 CT Practitioner - Mental Health Counselor 6901243070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3269CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Professional CurrentSince Mar 1, 2024 Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

Interoperability endpoints

  • Direct secure messaging: karie.decicco.p1@direct.wheelerclinic.nextgenshare.com

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": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1265095616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HILLSIDE AVE",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HILLSIDE AVE",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704019",
            "telephone_number": "203-729-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECICCO",
        "first_name": "KARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.