Individual provider Active NPI

Jessica L Schirano, LPC

  • Professional Counselor
  • Middlebury, CT
National Provider Identifier
1962969592
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003605 Issued in CT
Practice address
850 Straits Tpke Ste 201
Middlebury, CT 06762-2843
Phone
(203) 819-0789
NPI assigned
Mar 1, 2019
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003605 CT Primary

Addresses

Primary practice location

850 Straits Tpke Ste 201
Middlebury, CT 06762-2843

Mailing address

39 Leonard Rd
Middlebury, CT 06762-3602
Phone (570) 709-0662

Other names 1

  • Jessica Leigh Duddy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003605CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindscapes Counseling PLLC CurrentSince Jan 2, 2021 Accepting new patients
Thriving Minds Connecticut CurrentSince Oct 11, 2020 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. PastSince Jan 5, 2020 Accepting new patients

Locations

850 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 758-2296

Organizations & group practices 3

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1962969592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LEONARD RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623602",
            "telephone_number": "570-709-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STRAITS TPKE STE 201",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622843",
            "telephone_number": "203-819-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRANO",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DUDDY",
            "middle_name": "LEIGH",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.