Active NPI
Emma Jill Cohen, LPC
- Professional Counselor
- Berlin, CT
National Provider Identifier
1497464366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6246
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6246 | CT | MD | Professional Counselor |
| 5312 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thiel Mental Health Services LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.