JACQUELINE BANASIEWICZ LPC
NPI 1013467133
Counselor - Professional in West Hartford, CT
About Jacqueline Banasiewicz Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE BANASIEWICZ LPC (NPI 1013467133) is an individual professional provider in West Hartford, Connecticut, licensed in Connecticut (3023) and active in the NPI registry since October 2016. She has opted out of Medicare through September 24, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacqueline Banasiewicz Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 24, 2024 through September 24, 2026.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HARTFORD, CT 06107
WEST HARTFORD, CT 06107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Banasiewicz's NPI number?
The NPI number for Jacqueline Banasiewicz is 1013467133. It was assigned to this individual provider in the NPPES registry on October 13, 2016.
Where is Jacqueline Banasiewicz located?
Jacqueline Banasiewicz practices at 45 S Main St, West Hartford, CT 06107. The listed phone number is (860) 414-4245.
What is Jacqueline Banasiewicz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jacqueline Banasiewicz enrolled in Medicare?
No. Jacqueline Banasiewicz has opted out of Medicare through September 24, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jacqueline Banasiewicz was last updated on October 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Banasiewicz, LPC · NPI 1013467133
Professional provider in West Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1013467133 (Entity type: Individual)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3023 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 45 S MAIN ST, West Hartford, CT 06107-2441
- **Phone:** (860) 414-4245
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 24, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** October 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1013467133) · Data from the CMS NPPES public registry.