Jordan Baronski, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3904 Issued in CT

Practice address

415 Main St
West Haven, CT 06516-4296

Phone

(203) 931-1184

NPI assigned

Oct 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Wellness Behavioral Health Outreach IncGroup PAC ID 1951796119, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoreline Wellness Behavioral Health Outreach Inc

  • Community/Behavioral Health Agency
  • West Haven, CT
  • NPI 1144723305
  Medicare reassignment Care Compare group NPD
• Shoreline Wellness Center, LLC.

  • Mental Health Counselor
  • West Haven, CT
  • NPI 1609177815
  Medicare reassignment NPD

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1982245486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HIGHLAND AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065131844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164296",
            "telephone_number": "203-931-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARONSKI",
        "first_name": "JORDAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sejal B Bamrolia, RPT
• Jessica Anne Barber, PH.D.
• Mariah Baril-Dore, APRN
• Heather Barnard, DNP, FNP-C
• Katelyn Baron, ACNP
• Susan R Barringer, APRN
• Jaimie Douglass Barron, DPT
• Stacia Barry, LCSW
• Karen Bartley, DDS
• John Bartlomiejczyk, RPH

• Mental Health Counselor in West Haven, CT
• Providers in West Haven, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.