Individual provider Active NPI

Michelle Jean Piccerillo, LMFT

  • Marriage & Family Therapist
  • North Haven, CT
National Provider Identifier
1780909945
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001339 Issued in CT
Practice address
221 Borrelli Rd
North Haven, CT 06473-4115
Phone
(203) 234-8374
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001339 CT Primary

Addresses

Primary practice location

221 Borrelli Rd
North Haven, CT 06473-4115

Mailing address

221 Borrelli Rd
North Haven, CT 06473-4115
Phone (203) 234-8374

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

Practice roles

OrganizationSpecialtyStatusNew patients
Second Stories Counseling, LLP Marriage & Family Therapist CurrentSince Jun 6, 2021 Accepting new patients

Locations

1095 S Main St
#B
Cheshire, CT 06410
Phone (203) 565-2832

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1780909945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BORRELLI RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734115",
            "telephone_number": "203-234-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BORRELLI RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734115",
            "telephone_number": "203-234-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCERILLO",
        "first_name": "MICHELLE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.