Individual provider Active NPI

Caroline Julianne Heilbroner-Hammel, LPC-A

  • Professional Counselor
  • Ansonia, CT
National Provider Identifier
1811650062
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7018 Issued in CT
Practice address
435 E Main St
Ansonia, CT 06401-1964
Phone
(203) 736-2601
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 7018 CT Primary

Addresses

Primary practice location

435 E Main St
Ansonia, CT 06401-1964

Mailing address

15 Gray Ledge Rd
Branford, CT 06405-4817
Phone (203) 613-4001

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
I20240501003550 CT Practitioner - Mental Health Counselor 2365882792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhcare, Inc.Group PAC ID 5193819308, 33 clinicians

Practice addresses (Care Compare)

435 E Main St
Ansonia, CT 06401-1964
Phone (203) 736-2601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7018CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bhcare, Inc. CurrentSince Mar 18, 2024 Accepting new patients

Locations

435 E Main St
Ansonia, CT 06401
Phone (203) 736-2601

127 Washington Ave
Ste 3W
North Haven, CT 06473

127 Washington Ave
Ste 3
North Haven, CT 06473

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

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, 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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1811650062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GRAY LEDGE RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054817",
            "telephone_number": "203-613-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILBRONER-HAMMEL",
        "first_name": "CAROLINE",
        "middle_name": "JULIANNE",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "7018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.