JESSICA BERARD (NPI# 1265079669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265079669 |
| Entity Type | Individual |
| Full Name | JESSICA BERARD |
| Credential | LPCA |
| Practice Address |
2 Trap Falls Rd Ste 120 Shelton CT 06484-7621 |
| Practice Telephone | 0381664242 |
| Mailing Telephone | 0381664242 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4020 | CT | Behavioral Health & Social Service Providers |
| Street Address |
2 TRAP FALLS RD STE 120 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477515823 | Kerry Lassen | Social Worker | 2 Trap Falls Rd Ste 120, Shelton, CT 06484 | 2006-04-03 |
| 1023615614 | Kelly Dougherty | Social Worker | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-7621 | 2020-10-06 |
| 1730715004 | Alison Glass | Social Worker | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-7621 | 2020-03-19 |
| 1669944724 | Progressive Institute LLC | Clinic/Center | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-4616 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343302 | Stephen Keith Lingle | Counselor | 51 E Treewater Pl, Shelton, WA 98584-9071 | 2018-07-24 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1689050643 | Sheryl Lynn Bragg | Counselor | 1511 Center St, Shelton, WA 98584-1105 | 2015-07-31 |
| 1699988188 | Jacquelyn E Dick | Counselor | 790 E Johns Prairie Rd., Shelton, WA 98584 | 2007-05-08 |
| 1184752800 | Marcia J. Delorme | Counselor | 100 Whitener Rd., Shelton, WA 98584 | 2007-03-02 |
| 1326135815 | Cynthia Jean Dyrnes | Counselor | 329 W Railroad Ave Ste 204, Shelton, WA 98584-3572 | 2006-10-06 |
| 1316559131 | Kerry Rose Johnson | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-21 |
| 1124638895 | Casey M. Carter | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2020-08-06 |
| 1063030310 | Milonna Close | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2020-07-13 |
| 1700406006 | Rachel Jean Parker | Counselor | 601 W Franklin St, Shelton, WA 98584-3518 | 2020-04-16 |
| Find all providers in SHELTON | ||||
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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.