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MISS JENNIFER LYNE DECOSMO LPC
NPI 1649587924
Counselor - Professional in Wallingford, CT

Active since September 08, 2010
380 MAIN ST, WALLINGFORD, CT 06492(203) 575-0466(203) 575-1817 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Miss Jennifer Lyne Decosmo Lpc NPPES

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

MISS JENNIFER LYNE DECOSMO LPC (NPI 1649587924) is an individual professional provider in Wallingford, Connecticut, licensed in Connecticut (001917) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1649587924
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS JENNIFER LYNE DECOSMOCredential: LPC
Location Address380 MAIN STWallingford, CT 06492-2281
Mailing Address380 Main StWallingford, CT 06492-2281 · (203) 575-0466 · Fax (203) 575-1817
Phone(203) 575-0466
Fax(203) 575-1817
Sole ProprietorYes
Enumeration DateSeptember 8, 2010
Last NPPES UpdateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
✔ NPI 1649587924 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 · 001917
380 MAIN ST, Wallingford, CT 06492
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Other Identifiers 1

Medicaid08037449CT

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 Jennifer Decosmo's NPI number?

The NPI number for Jennifer Decosmo is 1649587924. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Jennifer Decosmo located?

Jennifer Decosmo practices at 380 Main St, Wallingford, CT 06492. The listed phone number is (203) 575-0466.

What is Jennifer Decosmo's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Decosmo was last updated on February 16, 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.