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YASMIN PEREZ-MADDELENA LPC
NPI 1689885667
Counselor - Professional in Bridgeport, CT

Active since May 24, 2007PECOS Enrolled
1046 FAIRFIELD AVE, 1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 330-6054(203) 331-4716 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Yasmin Perez-maddelena Lpc NPPES

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

YASMIN PEREZ-MADDELENA LPC (NPI 1689885667) is an individual professional provider in Bridgeport, Connecticut, licensed in Connecticut (002430) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689885667
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameYASMIN PEREZ-MADDELENACredential: LPC
Location Address1046 FAIRFIELD AVE, 1046 FAIRFIELD AVEBridgeport, CT 06605-1116
Mailing Address968 Fairfield AveBridgeport, CT 06605-1116 · (203) 332-3556 · Fax (203) 382-1468
Phone(203) 330-6054
Fax(203) 331-4716
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateNovember 16, 2017
✔ NPI 1689885667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 002430
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 002430 (CT)
1046 FAIRFIELD AVE, Bridgeport, CT 06605
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Other Names 1

Former Name (1)Yasmin Perez Therapist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yasmin Perez-maddelena Lpc 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.

Other Providers at the Same Location NPPES 20

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

SOUTH- WEST COMMUNITY HEALTH CENTER, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
MS. KATHLEEN L. MANALIS
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
PATRICIA KOLBUSZ
Social Worker
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 612-3223
TARA CONCETTA O'NEIL LCSW
Social Worker (Clinical)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
MARILYN PRATT LMSW
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
MEGAN LYNN BOURGUILLON
Counselor (Mental Health)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
NICOLE ALTBAUM-NASH
Social Worker (Clinical)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
MS. LISA A. PRIBESH M.ED., LADC
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 332-3119

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 Yasmin Perez-maddelena's NPI number?

The NPI number for Yasmin Perez-maddelena is 1689885667. It was assigned to this individual provider in the NPPES registry on May 24, 2007. The provider is also known as Yasmin Perez Therapist.

Where is Yasmin Perez-maddelena located?

Yasmin Perez-maddelena practices at 1046 Fairfield Ave 1046 Fairfield Ave, Bridgeport, CT 06605. The listed phone number is (203) 330-6054.

What is Yasmin Perez-maddelena's specialty?

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

Is Yasmin Perez-maddelena enrolled in Medicare?

Yes. Yasmin Perez-maddelena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yasmin Perez-maddelena was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.