Individual provider Active NPI

Jordyn R Perlin

  • Addiction (Substance Use Disorder) Counselor
  • Old Saybrook, CT
National Provider Identifier
1487949731
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
263 Main St
301
Old Saybrook, CT 06475-2326
Phone
(860) 338-7350
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

263 Main St
301
Old Saybrook, CT 06475-2326

Mailing address

263 Main St
301
Old Saybrook, CT 06457
Phone (860) 338-7350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171129002344 CT Practitioner - Clinical Social Worker 9032476031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians
Harvest Healthcare LLCGroup PAC ID 9931276979, 72 clinicians

Practice addresses (Care Compare)

111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375

21 Waterville Rd
Avon, CT 06001-2097
Phone (860) 284-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Jan 15, 2026 Accepting new patients
William W Backus Hospital CurrentSince Oct 4, 2017 Accepting new patients
The William W Backus Hospital Current Accepting new patients
Harvest Healthcare LLC CurrentSince Dec 1, 2020 Accepting new patients
The William W Backus Hospital CurrentSince Oct 4, 2017 Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 5

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1487949731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "address_2": "301",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-338-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "address_2": "301",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752326",
            "telephone_number": "860-338-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLIN",
        "first_name": "JORDYN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.