JESSICA TYROL (NPI# 1962809277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962809277 |
| Entity Type | Individual |
| Full Name | JESSICA TYROL |
| Credential | LPC |
| Practice Address |
500 Blue Hills Ave Fl 9 Hartford CT 06112-1500 |
| Practice Telephone | 8605695900 |
| Practice Fax Number | 8607148973 |
| Mailing Telephone | 8605695900 |
| Mailing Fax Number | 8607148973 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
003106 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004040564 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 132 Mansfield Ave, Willimantic, CT 062262027 | 8604562281 | 8607745437 |
| Street Address |
500 BLUE HILLS AVE FL 9 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914331 | Heart Centered Counseling Services, LLC | Counselor | 674 Prospect Ave Ste 206, Hartford, CT 06105-4288 | 2019-10-24 |
| 1477036424 | Elise A Stark | Counselor | 1429 Park Street, Reset Floor One, Hartford, CT 06106-0700 | 2018-09-14 |
| 1063908101 | Flores & Peterson Counseling LLC | Counselor | 22 Sprague St, Hartford, CT 06106-4128 | 2018-07-02 |
| 1164912846 | Ann-marie Brown | Counselor | One Congress Street, Suite 210, Hartford, CT 06114 | 2018-05-17 |
| 1104351840 | Jennifer Everts | Counselor | 620 Pleasant Ave, Hartford, WI 53027-1955 | 2017-05-01 |
| 1609318567 | Gary Robert Probst | Counselor | 384 W Sumner St, Hartford, WI 53027-1421 | 2016-11-09 |
| 1689121378 | Taproot Integrative Care for Holistic Health | Counselor | 56 Arbor St Ste 106, Hartford, CT 06106-1223 | 2016-09-09 |
| 1144616517 | Leah Rivera-tighe | Counselor | 331 Wethersfield Ave Ste 2, Hartford, CT 06114-1438 | 2015-04-12 |
| 1689072076 | Jamie Winn | Counselor | 46 Coventry St, Hartford, CT 06112-1524 | 2014-12-17 |
| 1306255757 | Brittany Ridge Quinn | Counselor | 56 Arbor St Ste 216, Hartford, CT 06106-1224 | 2014-08-11 |
| Find all providers in HARTFORD | ||||
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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.