Jennifer Davis-Muller, NCC, LPC

Individual provider Active NPI Professional Counselor · North Franklin, CT

NPI 1588912976 · NPPES record last updated Nov 27, 2019

Key facts

NPI
1588912976
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
002201 (CT)
Practice address
210 Route 32 Ste 103
North Franklin, CT 06254-1813
Phone
(860) 917-3228
Fax
(860) 889-2985
NPI assigned
Aug 16, 2012
Reactivated
Oct 26, 2015
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002201CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Davis-Muller Therapy LLC Professional Past
since Nov 10, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002201
Professional Counselor 101YP2500X 002201 CT Yes

Addresses

Primary practice location

210 Route 32 Ste 103
North Franklin, CT 06254-1813

Mailing address

264 Pleasure Hill Rd
N Franklin, CT 06254-1008
Phone (860) 917-3228

Other providers in North Franklin, CT

All providers in North Franklin, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.