Vernell Sabrina-Nicole Watson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001932 Issued in CT

Practice address

391 Pomfret St
Putnam, CT 06260-1852

Phone

(860) 731-5522

Fax

(860) 731-5536

NPI assigned

Dec 21, 2012

Last updated

Mar 5, 2024By 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

Other names 1

• Vernell Peggins-Russell Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Health Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
  • NPI 1215979810
  Medicare reassignment NPD
• Community Health Resources, Inc

  • Adult Mental Health Clinic/Center
  • Windsor, CT
  • NPI 1295800795
  NPD
• Nafi Connecticut Inc.

  • Clinic/Center
  • Hartford, CT
  • NPI 1619258449
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1851637714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATERSIDE XING STE 401",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951588",
            "telephone_number": "860-697-3351",
            "fax_number": "860-731-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601852",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Batterson Park Rd",
            "address_2": "300",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060324502",
            "country_code": "US",
            "telephone_number": "860-284-1177",
            "fax_number": "860-284-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "VERNELL",
        "middle_name": "SABRINA-NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERNELL",
            "last_name": "PEGGINS-RUSSELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co (Walgrenns # 17500)
• Crystal M Walmsley
• Walter P & Carolyn E McGinn DMD PC
• Julie A Wardell, RN
• Simone Waterman
• Jacqueline Way
• Krista Weaver
• Ryan G Weaver, LO, ABOC, NCLEC
• Robin Alan Weeks, D.M.D.
• Breana C Weidele

• Professional Counselor in Putnam, CT
• Providers in Putnam, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.