Jessica Trzaska, LPC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001721 Issued in CT

Practice address

672 W Main St
West Haven, CT 06516-4826

Phone

(203) 339-1062

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

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

Other names 1

• Jessica Detlefsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Begin Again Counseling and Wellness LLC

  • Professional Counselor
  • West Haven, CT
  • NPI 1154078509

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1265912125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164825",
            "telephone_number": "203-623-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 W MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164826",
            "telephone_number": "203-339-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZASKA",
        "first_name": "JESSICA",
        "credential": "LPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DETLEFSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in West Haven, CT
• Providers in West Haven, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.