Individual provider Active NPI

Danielle Ternullo-Farkash, LPC, LADC

  • Mental Health Counselor
  • Bristol, CT
National Provider Identifier
1457086423
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006098 Issued in CT
Practice address
61 Bradley St Ste 3a
Bristol, CT 06010-5103
Phone
(860) 770-4194
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001454 CT
Mental Health Counselor 101YM0800X 004976 CT
Mental Health Counselor 101YM0800X 006098 CT Primary

Addresses

Primary practice location

61 Bradley St Ste 3a
Bristol, CT 06010-5103

Mailing address

97 Rock Rd
Burlington, CT 06013-1615
Phone (860) 882-3331

Other practice location 1

97 Rock Rd
Burlington, CT 06013-1615
Phone (860) 882-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004976CTMDMental Health Counselor
006098CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gradual Growth LLC Addiction (Substance Use Disorder) CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1457086423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ROCK RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060131615",
            "telephone_number": "860-882-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BRADLEY ST STE 3A",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105103",
            "telephone_number": "860-770-4194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "CT",
            "postal_code": "060131615",
            "country_code": "US",
            "telephone_number": "860-882-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERNULLO-FARKASH",
        "first_name": "DANIELLE",
        "credential": "LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001454",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "004976",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "006098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.