JIMMY GLENN DOOLITTLE
NPI 1396376257
Counselor - Professional in Torrington, CT

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment
990 MIGEON AVE, TORRINGTON, CT 06790(203) 525-1233 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Jan 30, 2020 (2 updates tracked since 2020).

About Jimmy Glenn Doolittle NPPES

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

JIMMY GLENN DOOLITTLE (NPI 1396376257) is an individual professional provider in Torrington, Connecticut, licensed in Connecticut (005290) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gulfport, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396376257
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJIMMY GLENN DOOLITTLE
Location Address990 MIGEON AVETorrington, CT 06790-4555
Mailing Address4319 W Railroad StGulfport, MS 39501-1407 · (228) 239-4249
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 30, 2020
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
NPI 1396376257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in CT · 005290 Licensed in MS · 1622
990 MIGEON AVE, Torrington, CT 06790

Secondary Practice Location 1

Location 11520 29th Ave Ste GulfportGulfport, MS 39501-2843 · Phone (228) 284-2644

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Jimmy Glenn Doolittle 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 ID244675882
PECOS Enrollment IDI20240618001743
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 4

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

Counselor (Professional)
990 MIGEON AVE
TORRINGTON, CT 06790
Family Medicine
990 MIGEON AVE
TORRINGTON, CT 06790
Family Medicine
990 MIGEON AVE
TORRINGTON, CT 06790
Marriage & Family Therapist
990 MIGEON AVE
TORRINGTON, CT 06790

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 Jimmy Doolittle's NPI number?

The NPI number for Jimmy Doolittle is 1396376257. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Jimmy Doolittle located?

Jimmy Doolittle practices at 990 Migeon Ave, Torrington, CT 06790. The listed phone number is (203) 525-1233.

What is Jimmy Doolittle's specialty?

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

Is Jimmy Doolittle enrolled in Medicare?

Yes. Jimmy Doolittle 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 Jimmy Doolittle accept?

Health plans from Providence Health Plan list Jimmy Doolittle 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 Jimmy Doolittle was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.