JILL NICOLIA - NPI 1265295422 - Marriage & Family Therapist in Shelton, CT

Q: What is Jill Nicolia's NPI number?

The NPI number for Jill Nicolia is 1265295422. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Q: What is Jill Nicolia's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Nicolia was last updated on January 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jill Nicolia NPPES

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

JILL NICOLIA (NPI 1265295422) is an individual marriage & family therapist in Shelton, Connecticut, licensed in Connecticut (002581) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1265295422

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJILL NICOLIA

Location Address2 CORPORATE DR STE 950Shelton, CT 06484-6246

Mailing Address30 Bear Paw RdTrumbull, CT 06611-1408 · (203) 984-5653

Phone(203) 293-0224

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 31, 2024

NPPES CertifiedJanuary 31, 2024

✔ NPI 1265295422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CT · 002581

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2 CORPORATE DR STE 950, Shelton, CT 06484

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Nicolia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608369723

PECOS Enrollment IDI20251205002454

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 5

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

JENNIFER DEMAYO NCC, LMHC, LPC

Counselor