Active NPI
Jody M Farrell, MS
- Professional Counselor
- Clinton, CT
National Provider Identifier
1669719563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002626
- Practice address
- 27 James Vincent Dr
Clinton, CT 06413-1258 - Phone
- (203) 640-7809
- NPI assigned
- Jan 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002626 | CT | Primary |
Addresses
Primary practice location
27 James Vincent Dr
Clinton, CT 06413-1258
Mailing address
27 James Vincent Dr
Clinton, CT 06413-1258
Phone (203) 640-7809
Other practice location 1
264 Church St
Guilford, CT 06437-2439
Phone (203) 693-4566
Other names 1
- Mrs. Jody M Farrell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002626 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Wellness, PLLC | Current | Accepting new patients | |
| Stony Creek Wellness Group, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Clinton, CT
- NPI 1932807294
-
- Psychiatric/Mental Health Nurse Practitioner
- Guilford, CT
- NPI 1598209116
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1669719563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 JAMES VINCENT DR",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131258",
"telephone_number": "203-640-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 JAMES VINCENT DR",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131258",
"telephone_number": "203-640-7809"
}
],
"practiceLocations": [
{
"address_1": "264 Church St",
"address_purpose": "LOCATION",
"city": "Guilford",
"state": "CT",
"postal_code": "064372439",
"country_code": "US",
"telephone_number": "203-693-4566",
"fax_number": "203-457-5970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRELL",
"first_name": "JODY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODY",
"last_name": "FARRELL",
"middle_name": "M",
"prefix": "MRS.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.