Active NPI
Emily Werner, LPC
- Mental Health Counselor
- New London, CT
National Provider Identifier
1790948198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 300 State St Ste 316
New London, CT 06320-6112 - Phone
- (860) 287-0777
- NPI assigned
- Jul 7, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
300 State St Ste 316
New London, CT 06320-6112
Mailing address
15 Fitch Ave
New London, CT 06320-5301
Other practice location 1
15 Fitch Ave
New London, CT 06320-5301
Phone (860) 287-0777
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125003950 | CT | Practitioner - Mental Health Counselor | 2466805478 | Practice locations: New London, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 State St
Suite 316
New London, CT 06320-6112
Phone (860) 287-0777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1990 | CT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1790948198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FITCH AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063205301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STATE ST STE 316",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063206112",
"telephone_number": "860-287-0777"
}
],
"practiceLocations": [
{
"address_1": "15 Fitch Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063205301",
"country_code": "US",
"telephone_number": "860-287-0777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WERNER",
"first_name": "EMILY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.