Jessica R Page, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

001292 Issued in CT

Practice address

125 Penfield Rd
Fairfield, CT 06824-6611

Phone

(203) 255-5777

Fax

(203) 368-9167

NPI assigned

Feb 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Jessica R. Page, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Milford, CT
  • NPI 1457999880
  NPD
• Lifebridge Community Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfield, CT
  • NPI 1750378667

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1902179690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PENFIELD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246611",
            "telephone_number": "203-255-5777",
            "fax_number": "203-368-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PENFIELD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246611",
            "telephone_number": "203-255-5777",
            "fax_number": "203-368-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-11",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069985",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pablo J Cuevas III, DDS, PC
• Hanna Packnick, RN/NP
• Nadine BJ Padowicz, LCSW
• Christina Wendy Padron-Cotto, SLP
• Arsenio Paez, DPT
• Pain & Spine Specialists of Connecticut, LLC
• Paine Center for Neurofeedback LLC
• Daniel Palevo, A.T.C
• Kaitlyn Nicole Palevo, MS, ATC, LAT
• Laura Palmer

• Addiction (Substance Use Disorder) Counselor in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.