Individual provider Active NPI

Emily E Covill, MED, LPC

  • Mental Health Counselor
  • Oakdale, CT
National Provider Identifier
1942893672
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003806 Issued in CT
Practice address
21 Pennsylvania Ave
Oakdale, CT 06370-1548
Phone
(860) 455-5581
NPI assigned
Feb 13, 2021
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003806 CT Primary

Addresses

Primary practice location

21 Pennsylvania Ave
Oakdale, CT 06370-1548

Mailing address

21 Pennsylvania Ave
Oakdale, CT 06370-1548

Other practice location 1

148 Eastern Blvd Ste 200
Glastonbury, CT 06033-4321
Phone (860) 815-8991

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Oakdale Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240509001999 CT Practitioner - Mental Health Counselor 6305287210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
003806CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Cognitive Care, PC Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

148 Eastern Blvd
Ste 200
Glastonbury, CT 06033
Phone (860) 559-9398

2321 Whitney Ave
Ste 103
Hamden, CT 06518
Phone (203) 242-7337

98 East Ave
Ste 3
Norwalk, CT 06851
Phone (203) 580-6660

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1942893672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PENNSYLVANIA AVE",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PENNSYLVANIA AVE",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701548",
            "telephone_number": "860-455-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Eastern Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334321",
            "country_code": "US",
            "telephone_number": "860-815-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVILL",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oakdale",
            "affiliation": "N",
            "endpointDescription": "Business address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Oakdale",
            "address_1": "21 Pennsylvania Ave",
            "city": "Oakdale",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063701548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakdale, CT

Sources for this page

Verify at the official NPI Registry.