Active NPI
Tania Patricelli, LPC
- Counselor
- Branford, CT
National Provider Identifier
1982840930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 173 Montowese St
Branford, CT 06405-3887 - Phone
- (203) 433-0299
- Fax
- (203) 643-2042
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
173 Montowese St
Branford, CT 06405-3887
Mailing address
112 Charter Oak Ave
East Haven, CT 06512-2775
Phone (203) 415-5645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235918 | Medicaid | CT |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tania Patricelli | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Branford, CT
- NPI 1811271927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1982840930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 CHARTER OAK AVE",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065122775",
"telephone_number": "203-415-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 MONTOWESE ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053887",
"telephone_number": "203-433-0299",
"fax_number": "203-643-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICELLI",
"first_name": "TANIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235918",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.