Katelin Dressel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2801 Issued in CT

Practice address

125 Penfield Rd
Fairfield, CT 06824-6611

Phone

(203) 255-5777

Fax

(203) 259-9673

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Lifebridge Community Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfield, CT
  • NPI 1750378667
  NPD (past)
• Lifebridge Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
  • NPI 1922006923
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1619352879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PENFIELD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246611",
            "telephone_number": "203-255-5777",
            "fax_number": "203-259-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PENFIELD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246611",
            "telephone_number": "203-255-5777",
            "fax_number": "203-259-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSEL",
        "first_name": "KATELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Amy Orthodontics
• Dr. Brett M. Carr, LLC
• Dr. Katherine Bothos LLC
• Dr. Katherine Bothos, LLC
• Dr. Nelson Gould
• Adam Driesman, MD
• Mitchell H. Driesman, M.D.
• Shelley K Driesman, MD
• DRS Goldfarb, Ranno and Associates. LLC
• Matthew Druks

• Professional Counselor in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.