Individual provider Active NPI

Emma Jill Cohen, LPC

  • Professional Counselor
  • Berlin, CT
National Provider Identifier
1497464366
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6246 Issued in CT
Practice address
10 Steele Blvd Ste 2
Berlin, CT 06037-2363
Phone
(860) 909-8569
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5312 CT
Professional Counselor 101YP2500X 6246 CT Primary

Addresses

Primary practice location

10 Steele Blvd Ste 2
Berlin, CT 06037-2363

Mailing address

54 Oak St Apt 13
Middletown, CT 06457-3758
Phone (203) 969-4954

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://spruce.care/8604075375 Direct

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
I20240916001655 CT Practitioner - Mental Health Counselor 9133660368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thiel Mental Health Services LLC 3 clinicians

Practice addresses (Care Compare)

10 Steele Blvd
Suite 2
Berlin, CT 06037-2363
Phone (860) 407-5375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6246CTMDProfessional Counselor
5312CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thiel Mental Health Services LLC CurrentSince Jul 8, 2024 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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1497464366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 OAK ST APT 13",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573758",
            "telephone_number": "203-969-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STEELE BLVD STE 2",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372363",
            "telephone_number": "860-909-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "EMMA",
        "middle_name": "JILL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5312",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://spruce.care/8604075375",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Steele Blvd Ste 2",
            "city": "Berlin",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060372363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

Verify at the official NPI Registry.