Melissa Jagoe-Seidl

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002960 Issued in CT

Practice address

1330 Post Rd Ste 3
Fairfield, CT 06824-6075

Phone

(475) 489-8408

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952425993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PLYMOUTH AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114135",
            "telephone_number": "503-883-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 POST RD STE 3",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246075",
            "telephone_number": "475-489-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGOE-SEIDL",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1188",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paul Isenberg, PHD
• Kathleen Istvan, SLP
• Lisa Wackerman Iwanowski, LCSW,MSW,BA
• J & L Medical Services, LLC
• Gina Jacobson, OTR/L
• Monica M Jain, MD
• Theodora Barber Jameson, PT
• Jamie Goodman, MSW, LLC
• Lauren Jankauskas, OT
• Jaquelyn Taylor, LCSW, PLLC

• Professional Counselor in Fairfield, CT
• Providers in Fairfield, 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 21, 2022; 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.