Active NPI
Jeannette Ogorzalek
- Mental Health Counselor
- Old Saybrook, CT
National Provider Identifier
1366853616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 97 Elm St
Old Saybrook, CT 06475-4144 - Phone
- (860) 877-5925
- Fax
- (860) 339-5114
- NPI assigned
- May 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
97 Elm St
Old Saybrook, CT 06475-4144
Mailing address
97 Elm St
Old Saybrook, CT 06475-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1366853616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 ELM ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 ELM ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754144",
"telephone_number": "860-877-5925",
"fax_number": "860-339-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGORZALEK",
"first_name": "JEANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-08",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.