EDWIN DEJESUS LPC
NPI 1801439427
Counselor - Professional in Middletown, CT
About Edwin Dejesus Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWIN DEJESUS LPC (NPI 1801439427) is an individual professional provider in Middletown, Connecticut, licensed in Connecticut (003609) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edwin Dejesus Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Edwin Dejesus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Edwin Dejesus's NPI number?
The NPI number for Edwin Dejesus is 1801439427. It was assigned to this individual provider in the NPPES registry on October 27, 2019.
Where is Edwin Dejesus located?
Edwin Dejesus practices at 31 Peyton Pl, Middletown, CT 06457. The listed phone number is (860) 716-3081.
What is Edwin Dejesus's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Edwin Dejesus enrolled in Medicare?
Yes. Edwin Dejesus is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Edwin Dejesus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Dejesus reassigns Medicare benefits to 2 organizations: Man-Up Counseling And Mentoring Centers LLC (Middletown, CT) and Strength LLC (Middletown, CT). Each 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 Edwin Dejesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edwin Dejesus accept?
Health plans from Anthem Blue Cross and Blue Shield list Edwin Dejesus 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 Edwin Dejesus was last updated on October 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Edwin Dejesus, LPC · NPI 1801439427
Professional provider in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since October 27, 2019.
## Identity
- **NPI:** 1801439427 (Entity type: Individual)
- **Enumerated:** October 27, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 003609 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 31 PEYTON PL, Middletown, CT 06457-2339
- **Phone:** (860) 716-3081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Man-Up Counseling And Mentoring Centers LLC (NPI 1932743879, Middletown, CT); Strength LLC (NPI 1194396234, Middletown, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1801439427) · Data from the CMS NPPES public registry.