JUSTINE DIMARIA
NPI 1457115040
Counselor - Addiction (Substance Use Disorder) in Greenwich, CT

Active since February 13, 2024PECOS Enrolled
177 W PUTNAM AVE, GREENWICH, CT 06830(203) 559-5970 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justine Dimaria NPPES

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

JUSTINE DIMARIA (NPI 1457115040) is an individual addiction (substance use disorder) provider in Greenwich, Connecticut, licensed in Connecticut (1528) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457115040
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJUSTINE DIMARIA
Location Address177 W PUTNAM AVEGreenwich, CT 06830-5203
Mailing Address5 Dobek TerDerby, CT 06418-2034 · (194) 984-2747
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1457115040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · 1528
177 W PUTNAM AVE, Greenwich, CT 06830

Secondary Practice Locations 2

Location 15 Dobek TerDerby, CT 06418-2034 · Phone (194) 984-2747
Location 21423 Chapel StNew Haven, CT 06511-4411 · Phone (203) 717-9900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Justine Dimaria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction (Substance Use Disorder)
1435 CHAPEL ST, 1ST FLOOR
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Homemaker
177 W PUTNAM AVE
GREENWICH, CT 06830
Family Medicine
177 W PUTNAM AVE
GREENWICH, CT 06830
Dietitian, Registered
177 W PUTNAM AVE
GREENWICH, CT 06830
Social Worker (Clinical)
177 W PUTNAM AVE
GREENWICH, CT 06830

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 Justine Dimaria's NPI number?

The NPI number for Justine Dimaria is 1457115040. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Justine Dimaria located?

Justine Dimaria practices at 177 W Putnam Ave, Greenwich, CT 06830. The listed phone number is (203) 559-5970.

What is Justine Dimaria's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Justine Dimaria enrolled in Medicare?

Yes. Justine Dimaria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justine Dimaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justine Dimaria reassigns Medicare benefits to Prosperity Counseling LLC (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justine Dimaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justine Dimaria was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.