Individual provider Active NPI

Susanmary Christin Janerico

  • Professional Counselor
  • Danbury, CT
National Provider Identifier
1598303406
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4077 Issued in CT
Practice address
412 Main St
Danbury, CT 06810-4730
Phone
(203) 730-8775
Fax
(203) 730-8807
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4077 CT Primary

Addresses

Primary practice location

412 Main St
Danbury, CT 06810-4730

Mailing address

412 Main St
Danbury, CT 06810-4730
Phone (203) 730-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000993 CT Practitioner - Mental Health Counselor 1355850850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
First Step Wellness LLCGroup PAC ID 7719351071, 2 clinicians

Practice addresses (Care Compare)

412 Main St
Danbury, CT 06810-4730
Phone (203) 297-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Wellness LLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

412 Main St
Danbury, CT 06810
Phone (203) 297-8775

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1598303406",
    "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": "203-730-8775",
            "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": "203-730-8775",
            "fax_number": "203-730-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANERICO",
        "first_name": "SUSANMARY",
        "middle_name": "CHRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.