Jennifer Marie Finefrock

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

006113 Issued in CT

Practice address

132 Main St Ste 2a
Southington, CT 06489-2561

Phone

(860) 276-4459

NPI assigned

Aug 30, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Williams & Bassoli, LLP

  • Clinical Social Worker
  • Southington, CT
  • NPI 1720555642

  Professional

  NPD

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1346521754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "860-276-4459",
            "fax_number": "203-718-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "860-276-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINEFROCK",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "006113",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "93-1651908",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hilda Fede, LMFTA
• Emily Felske, LPC
• James Ferland, PT
• Joseph Filippone
• Kelly M Fine, RDH, BSDH, MED
• Stephanie Fiore, MS, APRN, FNP-BC
• Linda Firmani, PTA
• Luz Eneida Fischer-Flores, MSN, APRN,ANP,BC
• Marybeth Fisher, APRN
• Nancy A Florian, R.PH

• Professional Counselor in Southington, CT
• Providers in Southington, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.