Individual provider Active NPI

Danielle Escobar, LPC

  • Professional Counselor
  • Groton, CT
National Provider Identifier
1659798478
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002669 Issued in CT
Practice address
111 Spyglass Cir
Groton, CT 06340-6212
Phone
(860) 917-4925
NPI assigned
Mar 19, 2014
Last updated
Oct 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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 002669 CT Primary

Addresses

Primary practice location

111 Spyglass Cir
Groton, CT 06340-6212

Mailing address

111 Spyglass Cir
Groton, CT 06340-6212
Phone (860) 917-4925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 6, 2024 through Jun 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002669CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Escobar Therapy Professional CurrentSince Sep 11, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: danielle.escobar@xdr.hhchealthdirect.org

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": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1659798478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SPYGLASS CIR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406212",
            "telephone_number": "860-917-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SPYGLASS CIR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406212",
            "telephone_number": "860-917-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.