YASMIN PEREZ-MADDELENA LPC
NPI 1689885667
Counselor - Professional in Bridgeport, CT
- Individual
- Female
- Counselor
- Professional
- PECOS Enrolled
About YASMIN PEREZ-MADDELENA
This page provides the complete NPI Profile along with additional information for Yasmin Perez-maddelena, a provider established in Bridgeport, Connecticut with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1689885667 assigned on May 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 002430 (CT). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1689885667 Verify this NPI
- Provider Name
- YASMIN PEREZ-MADDELENA LPC
- Other Name
- YASMIN PEREZ THERAPIST
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1046 FAIRFIELD AVE 1046 FAIRFIELD AVE BRIDGEPORT, CT 06605
- Location Phone
- (203) 330-6054
- Location Fax
- (203) 331-4716
- Mailing Address
- 968 FAIRFIELD AVE BRIDGEPORT, CT 06605
- Mailing Phone
- (203) 332-3556
- Mailing Fax
- (203) 382-1468
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2007
- Last Update Date
- 11-16-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 002430
- License State
- CT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 002430 (CT) |
Medicare Participation & PECOS Enrollment Status
Yasmin Perez-maddelena is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689885667, enumerated as an "individual" on May 24, 2007.
The provider is located at 1046 FAIRFIELD AVE 1046 FAIRFIELD AVE BRIDGEPORT, CT 06605 and the phone number is (203) 330-6054.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
