Active NPI
Jessica L Schirano, LPC
- Professional Counselor
- Middlebury, CT
National Provider Identifier
1962969592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003605
- Practice address
- 850 Straits Tpke Ste 201
Middlebury, CT 06762-2843 - Phone
- (203) 819-0789
- NPI assigned
- Mar 1, 2019
- Last updated
- Oct 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003605 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindscapes Counseling PLLC | Current | Accepting new patients | |
| Thriving Minds Connecticut | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Middlebury, CT
- NPI 1770180770
-
dba Tides of Mind Counseling
- Clinical Social Worker
- Waterbury, CT
- NPI 1295130581
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
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
- Shirley Y Samy, APRN
- Carisa Eli Sanchez, LCSW, LADC, ICADC
- Erin F Sanzone, PA-C
- Michael Damon Savarese, M.D.
- Joanne Lora Scheid, OTR/L
- Kailyn Schuster
- Score, LLC
- Seasons Hospice & Palliative Care of Connecticut, LLC (AccentCare Hospice & Palliative Care of Connecticut)
- Seasons Medical Group of Connecticut PC (AccentCare Medical Group of Connecticut)
- Seth Robert Segall, PH.D.
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.