Brandy Marie Sellitto-Taylor, LPC
Individual provider Active NPI Professional Counselor · Thomaston, CT
NPI 1326714031 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1326714031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5089 (CT)
- Practice address
- 486 S Main St BLDG 2
Thomaston, CT 06787-1844 - Phone
- (860) 387-5587
- NPI assigned
- Aug 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
486 S Main St
BLDG 2
Thomaston, CT 06787-1844
Phone (860) 387-5587
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214003878 | CT | Practitioner - Mental Health Counselor | 1850735184 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5089 | CT | MD | Professional Counselor |
| 6336 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lagom Lifestyle Counseling LLC | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5089 | CT | Yes |
Addresses
Primary practice location
486 S Main St BLDG 2
Thomaston, CT 06787-1844
Mailing address
60 Lexington Ave
Torrington, CT 06790-3430
Phone (860) 387-5587
Other providers in Thomaston, CT
- Rite Aid Pharmacy
- Nicolas Roder-Hanna
- Jose Antonio Rodriguez
- Michael Adam Roohr
- Gary I Schecter
- Chelsey Ann Shaban
- Manpuneet Singh
- Sweet Counseling Associates, LLC Dba Thomaston Counseling Associates
- Sweet Counseling, LLC
- Andrea Jeanne Sweet
All providers in Thomaston, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.