Diane Gertud Reilly, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2625 Issued in CT

Practice address

136 Pembroke Rd
Unit 6
Danbury, CT 06811-3075

Phone

(203) 942-8981

NPI assigned

Apr 11, 2016

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

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Contemporary Care LLCGroup PAC ID 9537408141, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Contemporary Care, LLC

  • Multi-Specialty Clinic/Center
  • Danbury, CT
  • NPI 1639734338
  Medicare reassignment Care Compare group NPD
• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment NPD
• Connecticut Institute for Communities Inc

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1780918045
  Medicare reassignment
• Contemporary Care LLC

  • Psychiatry Physician
  • Naples, FL
  • NPI 1750277406
  NPD
• Therapy Space CT

  • Counselor
  • Ridgefield, CT
  • NPI 1518729326
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1891159331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PEMBROKE RD",
            "address_2": "UNIT 6",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068112956",
            "telephone_number": "203-942-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 PEMBROKE RD",
            "address_2": "UNIT 6",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068113075",
            "telephone_number": "203-942-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "DIANE",
        "middle_name": "GERTUD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rehnberg, PA-C
• Jeremy H Reid, LMSW
• Juel Bynoe Reid, L.M.F.T
• Keiliha A Reid, MD, APRN
• Jill Lisa Reiling, L.C.S.W
• Keri Reilly, LCSW
• Eric H Reiner, DO
• Vincent Rella, M.D.
• Jennifer Anne Renkert, LCSW
• David P Rentler, PSY.D.

• Mental Health Counselor in Danbury, CT
• Providers in Danbury, 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 Apr 11, 2016; 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.

Verify at the official NPI Registry.