Jennifer Sousa, LPC, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002296 Issued in CT

Practice address

412 Main St
Danbury, CT 06810-4730

Phone

(203) 200-0822

NPI assigned

Mar 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1528300175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104730",
            "telephone_number": "203-200-0822",
            "fax_number": "203-730-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104730",
            "telephone_number": "203-200-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Candlewood Lake Road",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "CT",
            "postal_code": "06804",
            "country_code": "US",
            "telephone_number": "561-346-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "JENNIFER",
        "credential": "LPC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Danbury, CT
• Providers in Danbury, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.