Individual provider Active NPI

Stephen P. Projansky, LPC

  • Professional Counselor
  • Wallingford, CT
National Provider Identifier
1609141753
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
004594 Issued in CT
Practice address
90 Mohawk Dr
Wallingford, CT 06492-2808
Phone
(860) 748-5893
NPI assigned
Mar 21, 2012
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 004594 CT Primary

Addresses

Primary practice location

90 Mohawk Dr
Wallingford, CT 06492-2808

Mailing address

90 Mohawk Dr
Wallingford, CT 06492-2808
Phone (860) 748-5893

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
I20240724000064 CT Practitioner - Mental Health Counselor 4789120932 Practice locations: Yalesville, CT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 Church St
Suite 3a
Yalesville, CT 06492-2356
Phone (860) 748-5893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004594CTMDProfessional Counselor
4594CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Right Trackcounseling LLC Professional Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1609141753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MOHAWK DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922808",
            "telephone_number": "860-748-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MOHAWK DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922808",
            "telephone_number": "860-748-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROJANSKY",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "004594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.