Jennifer Marie Mitchell, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

006215 Issued in CT

Practice address

26 Milestone LN
Madison, CT 06443-2321

Phone

(860) 966-4220

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1811685399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MILESTONE LN",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432321",
            "telephone_number": "860-966-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MILESTONE LN",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432321",
            "telephone_number": "860-966-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "006215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jean Miller, DMP
• Laura Miller, RN, IBCLC
• Laura A Miller, DDS
• Theresa Margaret Millet, LMFT
• Keith William Mirante, D.C.
• Christy Modine, LCSW
• Maxine Monson
• Patrick Joseph Moriarty, LO.
• Nicole Danielle Morra, LPC
• Jarod David Morrison, DC

• Counselor in Madison, CT
• Providers in Madison, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.