Tessa Lynn Depasquale, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001924 Issued in CT

Practice address

476 Pomfret Rd
Brooklyn, CT 06234-1526

Phone

(860) 774-5619

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• The Learning Clinic, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Brooklyn, CT
  • NPI 1184927659
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1932761202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEADOW HILLS DR",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371252",
            "telephone_number": "401-413-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 POMFRET RD",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "062341526",
            "telephone_number": "860-774-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPASQUALE",
        "first_name": "TESSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Classic Homemakers LLC
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy# 00942)
• Lauren Dandeneau, PHARM D
• Day Drug Inc
• Elizabeth Anne Deconno
• Soo Dewolf
• Holly Douglas Matty, DMD
• Margaret M Downing, COTA/L
• Zacharia El-Samin, P.A.C
• Timothy A Fava, OPTICIAN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.