Austin Phelan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3514 Issued in CT

Practice address

64 Thompson St Ste A105
East Haven, CT 06513-5700

Phone

(203) 635-8350

NPI assigned

May 18, 2020

Sex

Male

Sole proprietor

No

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Health and Wellness LLCGroup PAC ID 9032562889, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sound Health and Wellness LLC

  • Professional Counselor
  • Branford, CT
  • NPI 1093223026
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1386267946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 KING ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144919",
            "telephone_number": "203-521-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST STE A105",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135700",
            "telephone_number": "203-635-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 King St",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066144919",
            "country_code": "US",
            "telephone_number": "203-521-1466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "AUSTIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Perez, PT
• Jillian Anderson Perez, PA-C
• Personal Healing Clinical Services LLC
• Robert Horace Peters, M.D.
• Latrice Peterson
• Physiotherapy Associates Inc
• Keith Pirraglia, BCBA, LBA
• Domanice Poindexter, ACNPC-AG
• Carl P. Prota, D.M.D.
• Psychiatric Treatment & Resource Center Inc.

• Professional Counselor in East Haven, CT
• Providers in East Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.