Jill Nicolia

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

002581 Issued in CT

Practice address

2 Corporate Dr Ste 950
Shelton, CT 06484-6246

Phone

(203) 293-0224

NPI assigned

Jan 31, 2024

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

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mja Behavioral Health and WellnessGroup PAC ID 8820441264, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• M.J.a. Behavioral Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Seymour, CT
  • NPI 1215663018
  Medicare reassignment Care Compare group NPD
• Themindfullcup, LLC

  • Professional Counselor
  • Shelton, CT
  • NPI 1811509730
  NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1265295422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BEAR PAW RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111408",
            "telephone_number": "203-984-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR STE 950",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846246",
            "telephone_number": "203-293-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLIA",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "002581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Greenwood Behavioral Health, Inc.
• Zyria Noel Newman
• Eavey Moore Newton
• Rae A. Nezat, OTR/L
• Lisa Nichols, LPC
• Ramon Antonio Nieves Jr., LCSW
• Jason Martin Nobrega, PA
• Stacie Marie Nolan, M.S., CCC-SLP
• Dawn Nolte, DVM
• Northeast Dental of Connecticut,PC

• Marriage & Family Therapist in Shelton, CT
• Providers in Shelton, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.