Individual provider Active NPI

Paula Zepke, LPC

  • Professional Counselor
  • Middletown, CT
National Provider Identifier
1790130409
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2309 Issued in NU
Practice address
769 Newfield St Ste 5B
Middletown, CT 06457
Phone
(860) 495-3939
NPI assigned
May 1, 2016
Last updated
Aug 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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 2309 NU Primary

Addresses

Primary practice location

769 Newfield St Ste 5B
Middletown, CT 06457

Mailing address

769 Newfield St Ste 5B
Middletown, CT 06457-1846
Phone (860) 495-3939

Other practice location 1

769 Newfield St Ste 5B
Middletown, CT 06457
Phone (860) 495-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126000244 CT Practitioner - Mental Health Counselor 1759734791 Reassigns benefits to 1 organization
Practice locations: Middletown, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jan 29, 2024 Accepting new patients
State of Connecticut CurrentSince Jan 29, 2024 Accepting new patients
Pawsitive Therapy, LLC PastSince Mar 30, 2025 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

Organizations & group practices 3

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": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1790130409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 NEWFIELD ST STE 5B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571846",
            "telephone_number": "860-495-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 NEWFIELD ST STE 5B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-495-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 Newfield St Ste 5B",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "06457",
            "country_code": "US",
            "telephone_number": "860-495-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPKE",
        "first_name": "PAULA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-01",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.