Jenny Grace Jablonka, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6055 Issued in CT

Practice address

208 Valley Rd
New Canaan, CT 06840-3899

Phone

(203) 962-1446

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 1, 2026 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1881478550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 OLD NEWTOWN RD",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681106",
            "telephone_number": "203-962-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VALLEY RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068403899",
            "telephone_number": "203-962-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONKA",
        "first_name": "JENNY GRACE",
        "credential": "LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005475",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ieni, MD
• Integrative Medical Consulting LLC
• William Hudson Introcaso, DMD.
• Avraham Z Isseroff, MD
• Matthew J Iwinski, D.D.S.
• Janet Mentore Lee, PH.D., PLLC
• Jerri Jensen, M.D.
• Wooin Jeon, RPH
• Isabella Jordan, RN-MN, IBCLC
• Cheryl M Katz, MSW

• Mental Health Counselor in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.