Constance J Merriman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003211 Issued in CT

Practice address

4 Midland Rd
Waterbury, CT 06705-3412

Phone

(203) 755-8874

NPI assigned

Jul 28, 2017

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

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Merriman Counseling Services LLC

  • Community/Behavioral Health Agency
  • Falls Village, CT
  • NPI 1942884069

  CT

  Medicare reassignment NPD Authorized official
• Stokes Counseling Services LLC

  • Professional Counselor
  • Naugatuck, CT
  • NPI 1134541469

  CT, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1346764677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROUTE 7 N",
            "city": "FALLS VILLAGE",
            "state": "CT",
            "postal_code": "060311305",
            "telephone_number": "860-824-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MIDLAND RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053412",
            "telephone_number": "203-755-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "CONSTANCE",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Healthcare PLLC
• Meridian Manor Corp
• Elaine Mero
• Beverly Merolle
• Robert Merolle
• Amanda Merturi, PHARMD
• Sonia Mesquita, LCSW
• Kelly Messina
• Robert Messina
• Grace K Meyer, MA,ED.S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.