Jyg Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007879 Issued in CT

Legal business name

JYG COUNSELING SERVICES, LLC

Practice address

252 James St
Fairfield, CT 06824-6475

Phone

(917) 623-7765

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Yael Goodman, LCSWNPI 1295053908

Title

Managing Member

Phone

(917) 623-7765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Y Goodman, LCSW

  • Clinical Social Worker
  • Fairfield, CT
  • NPI 1295053908

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1598138398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 JAMES ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246475",
            "telephone_number": "917-623-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 JAMES ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246475",
            "telephone_number": "917-623-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYG COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "YAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-623-7765",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Zerella DMD, MDS, LLC (Fairfield County Implants & Periodontics)
• Rachel Josovitz, LCSW
• Catherine Elizabeth Joyce
• Judge CT Dental PC
• Sydney Marie Judkins, ATC, LAT
• Srinath Kadimi, M.D.
• Sarah Ann Kagan, OTR/L
• Carol Kagdis, CFNP
• Andrew Kalach, DPT
• Robin Kallman

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.