Jennifer Giustra-Kozek, LPC
Individual provider Active NPI Professional Counselor · Woodbury, CT
NPI 1972611283 · NPPES record last updated Jan 10, 2024
Key facts
- NPI
- 1972611283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001210 (CT)
- Practice address
- 787 Main St S Unit a-5
Woodbury, CT 06798-3741 - Phone
- (203) 714-4413
- Fax
- (203) 714-4723
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
787 Main St S
Unit a 5
Woodbury, CT 06798-3741
Phone (203) 714-4413
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430003005 | CT | Practitioner - Mental Health Counselor | 5496195018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001210 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Giustra-Kozek LPC LLC | Current |
Accepting new patients |
Locations
787 Main St S
Unit A-5
Woodbury, CT 06798
Phone (203) 580-4818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001210 | CT | Yes |
Addresses
Primary practice location
787 Main St S Unit a-5
Woodbury, CT 06798-3741
Mailing address
787 Main St S Unit a-5
Woodbury, CT 06798-3741
Phone (203) 714-4413
Other providers in Woodbury, CT
- Flourishing Roots Therapy LLC
- Cheryl Lynne Galligan
- Joanne Gersten
- Monica M Gilson
- Jane E Girgasky
- Daniel Benjamin Goodman
- Jeanne Hull Gray
- Gary Greenstein
- Aida Gusic
- Healthy Outlooks, LLC
All providers in Woodbury, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.