JEFFREY NETTLE MA, LPC
NPI 1073238119
Counselor - Professional in Sandy Hook, CT

Active since October 11, 2022PECOS EnrolledAccepts Medicare Assignment
107 CHURCH HILL RD, SANDY HOOK, CT 06482(474) 323-2200 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Oct 11, 2022 (2 updates tracked since 2022).

About Jeffrey Nettle Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY NETTLE MA, LPC (NPI 1073238119) is an individual professional provider in Sandy Hook, Connecticut, licensed in Connecticut (5855) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1073238119
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEFFREY NETTLECredential: MA, LPC
Location Address107 CHURCH HILL RDSandy Hook, CT 06482-1194
Mailing Address331 Jean CtShelton, CT 06484-3889 · (203) 577-8679
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 11, 2022
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1073238119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 5855
107 CHURCH HILL RD, Sandy Hook, CT 06482

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Nettle Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395180640
PECOS Enrollment IDI20240227002050, I20260115003795
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
107 CHURCH HILL RD
SANDY HOOK, CT 06482
Counselor (Professional)
107 CHURCH HILL RD
SANDY HOOK, CT 06482
Durable Medical Equipment & Medical Supplies (Customized Equipment)
107 CHURCH HILL RD, 2 E
SANDY HOOK, CT 06482
Pediatrics (Pediatric Cardiology)
107 CHURCH HILL RD, SUITE 1A
SANDY HOOK, CT 06482
Social Worker (Clinical)
107 CHURCH HILL RD
SANDY HOOK, CT 06482
Pediatrics (Pediatric Cardiology)
107 CHURCH HILL RD, SUITE 1A
SANDY HOOK, CT 06482
Counselor (Professional)
107 CHURCH HILL RD, SUITE 1
SANDY HOOK, CT 06482
Social Worker (Clinical)
107 CHURCH HILL RD, SUITE 1
SANDY HOOK, CT 06482

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 Jeffrey Nettle's NPI number?

The NPI number for Jeffrey Nettle is 1073238119. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Jeffrey Nettle located?

Jeffrey Nettle practices at 107 Church Hill Rd, Sandy Hook, CT 06482. The listed phone number is (474) 323-2200.

What is Jeffrey Nettle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jeffrey Nettle enrolled in Medicare?

Yes. Jeffrey Nettle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Nettle accept?

Health plans from Providence Health Plan list Jeffrey Nettle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Nettle was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.