JESSICA MARIE JANCZYK (NPI# 1184273344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184273344 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE JANCZYK |
| Credential | LPC |
| Practice Address |
13 Water St Danielson CT 06239-2838 |
| Practice Telephone | 8607795852 |
| Practice Fax Number | 8605401411 |
| Mailing Telephone | 8607795852 |
| Mailing Fax Number | 8605401411 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 3829 | CT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3829 | CT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
3829 | CT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3829 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 54 North St, Willimantic, CT 062262528 | 8604500151 | 8663004892 |
| Street Address |
13 WATER ST |
| City | DANIELSON |
| State | CT |
| Zip Code | 06239-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902174691 | Deborah Kozisek | Counselor | 13 Water St, Danielson, CT 06239-2838 | 2011-12-08 |
| 1194160820 | Lawrence Caffrey | Social Worker | 13 Water St, Danielson, CT 06239-2838 | 2013-05-08 |
| 1710255286 | Jessica Delaney | Marriage & Family Therapist | 13 Water St, Danielson, CT 06239-2838 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075218 | Brooke Fell | Licensed Practical Nurse | 391 Pomfret Avenue, Putnam, CT 06239 | 2018-09-01 |
| 1780920215 | Donna Johnston | Social Worker | 70 Cottage Street, Danielson, CT 06239 | 2013-01-03 |
| 1194935718 | Ralph T Campagna | Hearing Instrument Specialist | 594 Putnam Road, Danielson, CT 06239 | 2007-05-23 |
| 1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
| 1366515207 | Gary Edward Hartell | Chiropractor | 100 Broad Street, Danielsen, CT 06239 | 2006-11-16 |
| 1336223668 | Daniel E Fiore | Pharmacist | 42 Reynolds Street, Danielson, CT 06239 | 2006-10-24 |
| 1164870200 | Kristin Allard | Counselor | 71 Westcott Rd, Danielson, CT 06239 | 2016-05-31 |
| 1730555012 | Anastasia Zhuk Guc | Nurse Practitioner | 87 Westcott Rd, Danielson, CT 06239 | 2015-08-20 |
| 1033283197 | Optometric Associates of Danielson PC | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-11-20 |
| 1417046830 | Cranston Archer Briggs | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-10-12 |
| Find all providers in zip 06239 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902174691 | Deborah Kozisek | Counselor | 13 Water St, Danielson, CT 06239-2838 | 2011-12-08 |
| 1144829532 | Kristin Goodwin | Counselor | 239 Main St, Danielson, CT 06239-2816 | 2020-10-18 |
| 1841720018 | Megan Kathleen Corrado | Counselor | 227 Main St, Danielson, CT 06239-2816 | 2017-06-19 |
| 1699217968 | Samara Basilone | Counselor | 37 Commerce Ave, Danielson, CT 06239-2804 | 2016-11-17 |
| 1164870200 | Kristin Allard | Counselor | 71 Westcott Rd, Danielson, CT 06239 | 2016-05-31 |
| 1366865867 | Nicole Marie Hayes | Counselor | 37 Commerce Ave, Danielson, CT 06239-2804 | 2014-02-04 |
| 1346675105 | Hilary Nadine Lange | Counselor | 70 Cottage St, Danielson, CT 06239-3014 | 2013-09-11 |
| 1093063364 | Sheri Jones | Counselor | 37 Commerce Ave, Danielson, CT 06239-2804 | 2012-08-17 |
| 1932355948 | Joseph Arthur Deangelis | Counselor | 645 N Main St, Danielson, CT 06239-2108 | 2008-08-09 |
| 1194845396 | Kenneth Alan Ferguson | Counselor | 219 Broad St, Danielson, CT 06239-3004 | 2007-03-30 |
| Find all providers in DANIELSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.