Jessica Fonicello, CBE, CLC, CD, PRA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

2120 Little Meadow Rd
Guilford, CT 06437-1617

Phone

(203) 415-2388

NPI assigned

Feb 28, 2025

Last updated

Feb 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bseb-Birth Support, Education & Beyond, Inc.

  • Doula
  • Niantic, CT
  • NPI 1902611593

  Community Health Worker

  NPD

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1558168302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LITTLE MEADOW RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LITTLE MEADOW RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371617",
            "telephone_number": "203-415-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONICELLO",
        "first_name": "JESSICA",
        "credential": "CBE, CLC, CD, PRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L Ferrucci, PHYSICAL THERAPIST
• Richard Ficorilli
• Alexandra Fiedler
• Matthew L Fisel, ND
• Jamie L Foley
• Kristine Fornaby, LCSW
• Deborah Foster, LCSW
• Fowler Nursing Center, Inc.
• Fox and Feather Healing Arts Services, LLC
• Alan Paul Friedler, DMD

• Doula in Guilford, CT
• Providers in Guilford, CT by specialty
• Doula in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.