Active NPI
Jennifer Wells Brown, LPC
- Professional Counselor
- Guilford, CT
National Provider Identifier
1780999482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001922
- Practice address
- 2415 Boston Post Rd
Unit 12
Guilford, CT 06437-4348 - Phone
- (203) 693-4566
- Fax
- (203) 457-5970
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001922 | CT | |
| Professional Counselor | 101YP2500X | 001922 | CT | Primary |
Addresses
Primary practice location
2415 Boston Post Rd
Unit 12
Guilford, CT 06437-4348
Mailing address
2415 Boston Post Rd
Unit 12
Guilford, CT 06437-4348
Phone (203) 693-4566
Other names 1
- Jennifer Wells
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001922 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Creek Wellness Group, LLC | Professional | Past | 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 and National Provider Directory roles.
-
- 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": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1780999482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 BOSTON POST RD",
"address_2": "UNIT 12",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064374348",
"telephone_number": "203-693-4566",
"fax_number": "203-457-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 BOSTON POST RD",
"address_2": "UNIT 12",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064374348",
"telephone_number": "203-693-4566",
"fax_number": "203-457-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS BROWN",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "001922",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WELLS",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.