Julie Jason Farrelly

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

45 Wintonbury Ave Ste 102
Bloomfield, CT 06002

Phone

(860) 707-2024

NPI assigned

Dec 19, 2012

Last updated

Jul 12, 2019By 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

• Julie Jason Professional 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.

• Julie Jason LPC, LLC

  • Professional Counselor
  • South Windsor, CT
  • NPI 1558866723
  NPD (past)
• Center for Psychological and Family Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1588769343
  NPD (past)

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1316283328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060740212",
            "telephone_number": "860-707-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WINTONBURY AVE STE 102",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "06002",
            "telephone_number": "860-707-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 MAPLE STREET SUITE 205 CPFS",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032202",
            "country_code": "US",
            "telephone_number": "413-739-0882",
            "fax_number": "413-781-5729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELLY",
        "first_name": "JULIE",
        "middle_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "JASON",
            "credential": "MS, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Yvonne Evans, M.D.
• Lynn Fairchild, PA
• Family Dental Practice of Bloomfield
• Family Life Lifters, Inc.
• Family Optometric Care PC
• Maureen Elizabeth Fearon, APRN
• David Allen Feingold, MD
• Patrick Ralph Felice, M.D.
• Bianca Ferrante, D.P.T.
• Edwin Fierer, MD

• Mental Health Counselor in Bloomfield, CT
• Providers in Bloomfield, 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 Jul 12, 2019; 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.