Active NPI
Jessica Sudol Minieri, LPC, LMSW, LMHC
- Mental Health Counselor
- Danbury, CT
National Provider Identifier
1518524156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002961
- Practice address
- 5 Orchid Dr
Danbury, CT 06810-7293 - Phone
- (518) 534-4119
- NPI assigned
- May 20, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3944 | CT | |
| Clinical Social Worker | 1041C0700X | 6977 | CT | |
| Rehabilitation Counselor | 225C00000X | |||
| Mental Health Counselor | 101YM0800X | 002961 | NY | Primary |
Addresses
Primary practice location
5 Orchid Dr
Danbury, CT 06810-7293
Mailing address
5 Orchid Dr
Danbury, CT 06810-7293
Phone (518) 534-4119
Other names 1
- Jessica Spinelli Sudol
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3944 | CT | MD | Professional Counselor |
| 002961 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1518524156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ORCHID DR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107293",
"telephone_number": "518-534-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ORCHID DR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107293",
"telephone_number": "518-534-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINIERI",
"first_name": "JESSICA",
"middle_name": "SUDOL",
"name_prefix": "Mrs.",
"credential": "LPC, LMSW, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3944",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "6977",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SUDOL",
"middle_name": "SPINELLI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.